Comparative Analysis of Single-Layered vs. Double-Layered Bowel Anastomosis Closure Techniques: An Analytical Cross-Sectional Study

Dr. Vishnapu Shyam Krishna, Dr. S. Vishnu Sai Ram, Dr. K Suhas

Abstract: Objective: To evaluate and compare the clinical outcomes of single-layered (SL) and double-layered (DL) bowel anastomosis techniques in terms of postoperative recovery, complications, and patient safety. Methods: This analytical cross-sectional study was conducted on 50 patients undergoing bowel anastomosis at King George Hospital, Visakhapatnam. Patients were randomly assigned to receive either SL or DL closure (25 each). Postoperative parameters including time to bowel sound return, passage of flatus and stool, duration of hospital stay, and complication rates were recorded and analyzed using SPSS v24.0. Results: SL closure led to earlier passage of flatus (3 vs.4 days), earlier stool passage (6 vs.7 days), and shorter hospital stays (8 vs.10 days) compared to DL closure. These differences were statistically significant (p<0.05). Bowel sounds returned on the same day in both groups. No significant differences in anastomotic leaks or surgical site infections were noted. Conclusion: SL bowel anastomosis is a safe and effective alternative to DL closure. It offers improved postoperative recovery and reduced hospital stay, suggesting its preferable use in routine surgical practice.

Keywords: Bowel anastomosis, single-layer closure, double-layer closure, postoperative recovery, gastrointestinal surgery

How to Cite?: Dr. Vishnapu Shyam Krishna, Dr. S. Vishnu Sai Ram, Dr. K Suhas, "Comparative Analysis of Single-Layered vs. Double-Layered Bowel Anastomosis Closure Techniques: An Analytical Cross-Sectional Study", Volume 14 Issue 6, June 2025, International Journal of Science and Research (IJSR), Pages: 29-30, https://www.ijsr.net/getabstract.php?paperid=SR25527111321, DOI: https://dx.doi.org/10.21275/SR25527111321