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International Journal of Surgery Science
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International Journal of Surgery Science
Vol. 5, Issue 2, Part E (2021)

A prospective comparative study of post-operative complications of hand sewn versus stapled anastomosis in elective GI surgeries

Author(s): Abhilash N, Venugopal KJ and Srikanth K Aithal
Abstract: Background: Anastomotic leak and wound infection are the two feared complications of any bowel anastomosis. In this study a comparison between hand suturing and surgical stapling in patients undergoing elective gastrointestinal surgerieswith 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.
Pages: 253-256  |  196 Views  84 Downloads
How to cite this article:
Abhilash N, Venugopal KJ, Srikanth K Aithal. A prospective comparative study of post-operative complications of hand sewn versus stapled anastomosis in elective GI surgeries. Int J Surg Sci 2021;5(2):253-256. DOI: https://doi.org/10.33545/surgery.2021.v5.i2e.701
International Journal of Surgery Science