Academic literature on the topic 'Double layer anastomosis'

<strong>Introduction:</strong>&nbsp;The anastomotic approach chosen is based on the location of the anastomosis, the quality and caliber of the bowel, and the underlying medical process. However, personal surgical experience and inclination continue to play a significant role in the decision to conduct a specific anastomosis. The two-layer technique&rsquo;s sole noticeable drawback is that it takes considerable effort and time to complete. Recent papers have advocated for a monofilament plastic suture-based single-layer continuous anastomosis. This anastomosis can be created more quickly, for less money, and with a potentially lower risk of leaking than any other approach.&nbsp;<strong>Aims and Objectives:&nbsp;</strong>To compare single layer interrupted extra mucosal technique versus double layer continuous technique in intestinal anastomoses.&nbsp;<strong>Methods:</strong>&nbsp;This was prospective randomized control trial carried out on admitted patients and posted for resection and anastomosis surgery. Subjects was divided into two groups by alternative technique, namely, Group A. Patients, who received Single layered interrupted extra-mucosal anastomosis and Group B patients, who received double layered continuous intestinal anastomosis. In double layer anastomosis, anastomosis done using a 3-0 polygalactin continuous suturing for inner mucosal layer and a 3-0 silk interrupted for outer seromuscular layer. Each bite included 4 to 6mm of seromuscular wall. All single layer extramucosal interrupted anastomosis are constructed using a 3-0 Polygalactin round body needle suture beginning at the mesenteric border. Stitch advancement was approximately 5mm.&nbsp;<strong>Results:&nbsp;</strong>In Group A (single layer) the range of time taken for closure was between 7.67 minutes to18.00 minutes and mean duration was 14.35 minutes to perform an anastomosis, in Group B (double layer) the range was between 16.83 minutes to 24.83 minutes and mean duration was 21.43 minutes to perform a double layered anastomosis per operatively. The mean difference between two groups was 7.08 minutes, t value was 11.9 minutes and p&lt;0.001, which is highly significant.&nbsp;<strong>Conclusion:&nbsp;</strong>The study has concluded that single layer intestinal anastomosis requires much lesser duration than double layer intestinal anastomoses technique. &nbsp; &nbsp; &nbsp;

<strong>Introduction:</strong>&nbsp;Gastro-intestinal anastomosis is one of the most commonly performed procedures in both the elective and emergency surgical theatres worldwide and such procedures are commonly performed to restore the gut continuity after resection of primary pathology or at times to bypass the same. A thorough knowledge of the principles of a good anastomotic technique is a pre-requisite to achieve good surgical outcomes for any surgeon dealing with abdominal surgeries.&nbsp;<strong>Material and Methods:</strong>&nbsp;100 patients who required intestinal anastomosis were included in the study. These patients were divided into two groups- A and B with 50 patients each. In group A, intestinal anastomosis was done using single layer mucosa sparing technique. In group B, anastomosis was done using the conventional double layer technique. A comparison was made between both the groups in terms of per- operative and post-operative outcomes i.e., time taken for anastomosis, incidence of anastomotic leak, intra-abdominal abscess, sepsis, paralytic ileus, wound infection, mortality and duration of hospital stay.&nbsp;<strong>Results:</strong>&nbsp;Mean duration required for single layer mucosa sparing anastomosis was found to be significantly lesser than double layer technique (18.76+1.60 mins vs 28.88 + 2.02 mins). In terms of postoperative leak and other complications, double layer intestinal anastomosis offered no definite advantage of single layer mucosa sparing anastomosis with similar outcomes observed.&nbsp;<strong>Conclusion:</strong>&nbsp;Considering the duration of procedure and ease of completion, single layer mucosa sparing intestinal anastomosis may prove the optimal choice in most gastro-surgical situations. &nbsp; &nbsp;