A comparative study of single layer extra mucosal versus conventional double layer anastomosis of intestines in elective and emergency laparotomy at a tertiary health center

2020 ◽  
Vol 17 (1) ◽  
pp. 05-08
Author(s):  
C S Umaakanth Soundar ◽  
Keyword(s):  
Comparative Study ◽  
Health Center ◽  
Double Layer ◽  
Single Layer ◽  
Emergency Laparotomy

scholarly journals A comparative study of single layer continuous sutures versus double layer interrupted sutures in intestinal anastomosis

2015 ◽  
Vol 6 (3) ◽  
pp. 264
Author(s):  
Rahul Saboo ◽  
Satish Deshmukh ◽  
Rajiv Sonarkar ◽  
Vijay P Agrawal ◽  
Prateek Shah
Keyword(s):  
Comparative Study ◽  
Double Layer ◽  
Intestinal Anastomosis ◽  
Single Layer

scholarly journals Single-layer versus double-layer intestinal anastomosis: A comparative study

2017 ◽  
Vol 13 (2) ◽  
pp. 134-143 ◽  
Author(s):  
Tuhin Shah ◽  
RK Agarwal ◽  
RK Gupta ◽  
CS Agrawal ◽  
S Khaniya
Keyword(s):  
Comparative Study ◽  
Double Layer ◽  
Intestinal Anastomosis ◽  
Single Layer ◽  
P Value ◽  
Layer Versus ◽  
Elective Setting ◽  
Prospective Comparative Study ◽  
Layer Groups ◽  
Mean Time

Background: Intestinal anastomosis is essential to maintain the continuity after resection. There has been constant controversy due to various repair options. Adequate apposition can be achieved by either single- or double-layer anastomosis which may affect the post-operative outcome.Objective: To compare the outcome of single-layer versus double-layer anastomosis of small and large intestine.Method: This prospective comparative study was conducted over a period of 16 months, and included 78 patients who underwent intestinal anastomosis (without diverting stoma) after fulfilling inclusion and exclusion criteria. They were randomized into double-layer and single-layer intestinal anastomosis groups by a computer generated series. Double layer anastomosis was constructed using inner continuous Polyglactin 3-0 and outer interrupted Silk 3-0, while single layer anastomosis was done with interrupted PDS 2-0.Result: The mean age was 39.79±17.78 years. A total of 59% were operated in emergency room while 41% in elective setting. Overall mean time for anastomosis was 31.81±6.03 (21-50) minutes. In double- and single-layer intestinal anastomosis mean time was 34.35±5.80 (26-50) and 29.13±5.08 (21-45) minutes respectively, which was statistically significant (p value < 0.05). Single-layer was completed 5 minutes earlier than double layer anastomosis in average. Clinical anastomotic leak was seen in six (7.7%) patients, three in each group. Eight (10.3%) patients had surgical site infection: 3 in double-layer and 5 in single-layer groups. One (1.3%) mortality was seen, from single-layer anastomosis group.Conclusion: Single-layer anastomosis can be constructed in significantly shorter time with similar complication rate when compared to doublelayer anastomosis.Health Renaissance 2015;13(2): 134-143

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

2019 ◽  
Vol 7 (2) ◽  
pp. 103
Author(s):  
Sohan Pal Singh ◽  
Divya Prakash ◽  
Dheeraj Raj Baliyan ◽  
Virendra Kumar ◽  
Vishal Saxena ◽  
...  
Keyword(s):  
Comparative Study ◽  
Double Layer ◽  
Intestinal Anastomosis ◽  
Single Layer ◽  
Prospective Comparative Study

scholarly journals Single Layer Extra-Mucosal Interrupted Anastomoses; Revalidated

2015 ◽  
Vol 2 (1) ◽  
pp. 22-26
Author(s):  
Bilal Khattak ◽  
Faiz -Ur- Rahman ◽  
Irfan -Ul-Islam Nasir ◽  
Muhammad Iftikhar ◽  
Imtiaz Ahmad Khattak ◽  
...  
Keyword(s):  
Comparative Study ◽  
Double Layer ◽  
Intestinal Anastomosis ◽  
Single Layer ◽  
P Value ◽  
Burst Abdomen ◽  
Group A ◽  
Prospective Comparative Study ◽  
Anastomosis Leakage ◽  
Group B

Objective:To evaluate the safety regarding anastomotic failure of single layer interrupted extra mucosal intestinal anastomosis in comparison with double layer intestinal anastomosisMethodology:This prospective comparative study was conducted in surgical A unit of Lady reading Hospital Peshawar from 1st June 2007 to 1st February 2008 (8 months).Patients were divided into two groups, each comprising 60 patients. First 60 consecutive patients were included in Group A, for single layer extra mucosal anastomosis while Group B included last 60 consecutive patients for double layer inverting anastomosis (continuous inner and interrupted outer Lambert sutures). All the cases were admitted through OPD and emergency. The safety of two techniques of anastomosis was analyzed by comparing the outcome in terms of complications.Results:In this study, anastomosis leakage occurred only in 4 (3.33%) patients, one (1.67%) in group A and three (5%) in group B with a P-Value 0.138. Mean age of patient in group A was 36.15 years (+/- 6.0 years) and in group B was 33.25 years (+/- 5.5 years).Conclusion:Single layer extra-mucosal anastomosis has least anastomotic leakage and other complication like wound infection, septicemia, and collection and burst abdomen than in patients with double layer investing anastomosis.

scholarly journals Single layer versus double layer intestinal anastomoses: a comparative study

2020 ◽  
Vol 7 (9) ◽  
pp. 2991
Author(s):  
Ajit Kumar ◽  
Vinod Kumar
Keyword(s):  
Comparative Study ◽  
Anastomotic Leak ◽  
Double Layer ◽  
Intestinal Anastomosis ◽  
Single Layer ◽  
Anastomosis Group ◽  
Layer Versus ◽  
Intestinal Anastomoses ◽  
Significant Difference ◽  
End To End

Background: There are still conflicting views regarding suitability of single layer and double layer anastomotic technique. This prospective single blinded randomized comparative study conducted at Rajendra Institute of Medical Sciences to assess various aspects viz. safety, efficacy, duration of hospital stays and chances of perforation in single- and double-layer anastomotic surgery.Methods: 26 patients each in single layer and double layer anastomosis group were included in the study.  Single layer intestinal anastomosis was carried using extramucosal technique with 2-0 vicryl suture (round body). Double layer anastomosis was carried out using interrupted 3-0 silk lembert sutures for the outer layer and a continuous 2-0 vicryl for the inner layer. End to end colocolic, end to end ileocolic, end to side ileocolic, end to end ileoileal, side to side ileoileal, end to end jejunoileal and end to end jejunojejunal anastomosis were performed. Each group was compared for anastomotic leak, time required to construct the anastomosis, cost incurred, and length of hospital stay.Results: Findings of the study indicated that single layer is economical in comparison to double layer anastomosis and took significant less time to operate. There was no significant difference in hospital stay of the patients in two groups. There was no anastomotic leak in group-S (single layer) while one (3.8%) patient in group-D (double layer) suffered from anastomotic leak.Conclusions: It was concluded that single layer anastomosis method is beneficial and safe as it required less operative time, suturing material and no leak took place after surgery.

scholarly journals Comparative Study of Partitioned Stator Permanent Magnet Tubular Machines with Different Winding Configurations

2019 ◽  
pp. 16-26
Keyword(s):  
Fault Tolerance ◽  
Comparative Study ◽  
Permanent Magnet ◽  
Double Layer ◽  
Thrust Force ◽  
Single Layer ◽  
Interior Permanent Magnet ◽  
Comprehensive Comparison ◽  
Force Ripple ◽  
The Impact

In this study, partitioned stator permanent magnet (PS-PM) tubular machines having single- and double-layer windings layouts have been investigated. Two configurations of PS-PM tubular machines were considered, i.e. partitioned stator surface mounted permanent magnet (PS-SPM) and interior permanent magnet (PS-IPM) tubular machines. A comprehensive comparison has been carried out in order to investigate the impact of the winding layouts on such machines. It should be mentioned that the FE package that is used in this paper is (ANSYS Maxwell). It has been noted that irrespective of machines configurations, i.e. either PS-SPM or PS-IPM tubular machines, similar thrust force capability, higher average thrust force per magnet volume, lower thrust force ripple as well as cogging force and higher fault tolerance capability can be delivered by PS-PM tubular machines with single-layer winding compared to that with double-layer winding.

scholarly journals A COMPARATIVE STUDY BETWEEN SINGLE LAYER VERSUS DOUBLE LAYER INTESTINAL ANASTOMOSIS

2021 ◽  
pp. 64-66
Author(s):  
Sudhansu Sarkar ◽  
Sourav Das
Keyword(s):  
Comparative Study ◽  
Double Layer ◽  
Intestinal Anastomosis ◽  
Single Layer ◽  
Layer Versus ◽  
Medical College ◽  
Number Of Patients ◽  
Significant Difference ◽  
Group A ◽  
Group B

A comparative study between Single Layer versus Double Layer Intestinal Anastomosis,was undertaken at Department of Surgery,Bankura Sammilani Medical College & Hospital,Bankura from April 2019 – September 2020,which included 74 patients, comprising 2 groups: Group A-Single layer and Group B- Double layer with equal number of patients randomly allotted in each group. More number of patients had anastomotic leak in Group B than Group A, though not statistically significant. Difference of Mean Duration of Anastomosis with both groups is statistically significant.Mean Duration of Hospital Stay with both groups is statistically insignificant. Although more number of patients had anastomotic leaks in Group B than Group A,it was statistically insignificant.

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