International Journal of Contemporary Surgery

  • Year: 2019
  • Volume: 7
  • Issue: 2

A Prospective Comparative Study of Intestinal Anastomosis, Single Layer Extramucosal Versus Double Layer

  • Author:
  • Sohan Pal Singh1, Divya Prakash2,, Dheeraj Raj Baliyan1, Virendra Kumar3, Vishal Saxena4, Prachi2
  • Total Page Count: 5
  • Page Number: 103 to 107

1Professor, Department of Surgery, LLRM Medical College, Meerut

2Resident, Department of Surgery, LLRM Medical College, Meerut

3Associate Professor, Department of Surgery, LLRM Medical College, Meerut

4Assistant Professor, Department of Surgery, LLRM Medical College, Meerut

Abstract

Intestinal perforation peritonitis is a common surgical emergency in the Indian subcontinent and in tropical countries. Formation of an intestinal stoma is frequently a component of surgical intervention for diseases of the small bowel. The technique for stoma reversal has remained controversial in the use of single layer or two layers of anastomosis.

30 patients for stoma closure were taken for study. These patients divided in two groups A and B, 20 and 10 each. These patients were taken up for ileostomy closure in single layer group A n-20 & double layer group B n-10.

30 Patients of ileostomy were studied, divided in 2 groups, both groups were found to be comparatively equal in outcome with no any significant difference in complications.

Double-layer anastomosis for ileostomy closure offers no definite advantage over single layer anastomosis in terms of postoperative leak and other complications. Single layer ileostomy closure technique is safe, easy to perform and simply to taught. Considering duration of the closure procedure and cost benefits, single-layer intestinal anastomosis may prove the choice of procedure for most of the surgeons.

Keywords

Ileostomy closure, Acute abdomen, Peritonitis, Anastomosis, Stoma reversal