Anastomotic leak and wound infection are the two feared complications of any bowel anastomosis. In this study
between hand suturing and surgical stapling in patients undergoing elective gastrointestinal surgeries
with regard to post-operative
complications namely anastomotic leak and wound infection.
Methods: A prospective study was conducted in 40 patients undergoing elective resection and anastomosis over a period of 1 year. Post-operatively patients were followed up for post-operative complications namely anastomotic leak and wound infection. Follow up for 30 days post-operative was done.
Results: In total forty patients were studied out of which twenty patients underwent hand sewn and twenty patients underwent stapler anastomosis. There was anastomotic leak in 1 case of gastrojejunostomy in hand sewn group. No leak was observed in stapled anastomosis group.
Wound infection was observed in 5 cases. 4 cases were in hand sewn group and 1 in stapled group. There was no mortality in either group post-operatively. A sub-group analysis was also done.
Conclusion: There was no significant difference in the incidence of post-operative complications namely anastomotic leak and wound infection with respect to hand sewn and staples techniques. Therefore both hand sewn and stapled anastomosis technique can be safely practiced.