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43.Comparison Between the Full Thickness Continuous Hand Sewen Anastomosis with Single Layer Extra Mucosal Interrupted Anastomosis
Syed Aamer Hussain1, Babar Sultan Khaghan1, Tahir Iqbal2, Maaz Ullah1, Arifullah Khan1 and Omar Khan1
ABSTRACT
Objective: To compare both full-thickness continuous hand Sewen anastomosis with single layer extra mucosal interrupted anastomosis in terms of their effectiveness, outcomes, and complications.
Study Design: The current comparative study
Place and Duration of Study: This study was conducted at the Ayub Teaching Hospital Abbottabad from July 2022 to June 2023.
Materials and Methods: The sample size of the study was 100. The patients were divided into two groups each containing Group 1 consists of patients who underwent full-thickness continuous hand Sewen anastomosis, and group 2 consists of patients who had done single-layer extra mucosal interrupted anastomosis. Data collection was done in a pre-designed proforma. All the data was analyzed by using IBM SPSS version 24.
Results: The mean age in group 1 patients was 46 years with a standard deviation of 9.47. There were 32 (64%) male and 18 (32 %) female patients in group 1. Moreover, the mean age in group patients was 38 years with a standard deviation of 9.38. In group two there were 27 (54 %) male and 23 (46%) female patients. The average time taken by the patients during full-thickness continuous hand Sewen anastomosis was 18.74 minutes, while the time taken by those patients who had done single-layer extra mucosal interrupted anastomosis was 13.52 minutes. Similarly, the post-up hospital stay of group 1 patients was 8.67 days, while the post-up hospital stay of group 2 was 5.24 days. 5 (10%) of the patients in group 1 had developed post-up infection and only 2 (4%) of the patients in group # 02 had developed post-up infection.
Conclusion: The study concludes that single-layer extra mucosal interrupted anastomosis can be more effective with positive outcomes, in terms of being less time-consuming, and the complication rate is less as compared to full-thickness continuous hand Sewen anastomosis. By doing single-layer extra mucosal interrupted anastomosis there will be faster patient discharge and less chance of acquiring nosocomial infections.
Key Words: Full thickness; Continuous hand Sewen anastomosis; Single layer extra mucosal interrupted anastomosis