Comparison Between the Full Thickness Continuous Hand Sewen Anastomosis with Single Layer Extra Mucosal Interrupted Anastomosis

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.