A Prospective Comparative Study of Intestinal Anastomosis, Single Layer Extramucosal Versus Double Layer Singh Sohan Pal1, Prakash Divya2,*, Baliyan Dheeraj Raj1, Kumar Virendra3, Saxena Vishal4, Prachi2 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 *Corresponding author: Divya Prakash JR-III, E-mail: dr.divya_prakash@yahoo.com
Online published on 17 July, 2019. Abstract Background 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. Method 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. Results 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. Conclusion 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. Top Keywords Ileostomy closure, Acute abdomen, Peritonitis, Anastomosis, Stoma reversal. Top |