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Analysis Study Research Paper | Surgery | India | Volume 12 Issue 3, March 2023
A Prospective Study to Evaluate the Single Layer Hand Sewn Bowel Anastomosis using Hybrid Technique of Interrupted Connell Suture and Traditional Interrupted Suture
Baldev Singh [2] | Gagandeep Gupta [2] | Sugandh Gumber [2]
Abstract: Background: Many techniques of intestinal anastomosis have evolved over time but, the hand - sewn suturing technique remains the mainstay because of its easy availability, affordability of suture material and familiarity of the procedure. Recently, single - layer continuous anastomosis using monofilament suture has been adopted by many surgeons due to its reported cost - effectiveness, less time consumption, and leakage rates comparable to double - layer anastomosis. Therefore, the present study was conducted for evaluating the single layer hand - sewn bowel anastomosis using the hybrid technique of interrupted Connell suture and traditional interrupted suture. Material and methods: This Study included 30 patients who underwent single layer hand sewn bowel anastomosis using hybrid technique of interrupted Connell and traditional interrupted suturing using silk suture. Traditional interrupted sutures and modified Connell in the form of interrupted sutures were applied in the pattern of suitability for perfect apposition of the gut and this pattern was recorded in each case. Results: The incidence of bowel anastomosis was lower in females when compared to males. The maximum number of bowel anastomosis (30%) was performed in the age group of 21 to 30 years.25 patients had small bowel to small bowel (ileoileal) anastomosis, 4 subjects had small bowel to large bowel (ileocolic) anastomosis and only one patient had colocolic (large bowel to large bowel) anastomosis. Elective surgical procedure was performed on 77% of the patients. The mean hospital stay was 10.56?3.56 days. None of the patient had chest infection and fecal fistula after bowel anastomosis. Only one patient had an anastomotic leak, which necessitated re - operation, extending the hospital stay to 25 days. Conclusion: The hybrid anastomotic technique used in this study proved to be highly efficient in providing good intraoperative bowel apposition and post operative surgical outcome.
Keywords: Bowel anastomosis, Connell suture, Traditional interrupted suture, anastomotic leak
Edition: Volume 12 Issue 3, March 2023,
Pages: 944 - 947