Comparative prospective study of stapler versus hand sewn anastomosis in elective gastrointestinal surgeries conducted at tertiary level hospital, Vadodara
Journal Title: International Journal Of Research In Medicine - Year 2014, Vol 3, Issue 1
Abstract
BACKGROUND: Intestinal obstruction, peritonitis from a perforated bowel, abdominal trauma, malignancy of the gastrointestinal tract and other bowel diseases are common surgical problems throughout the world which must be treated operatively. Hence, it is frequently necessary to join two sections of bowel together. This anastomosis is carried out either manually or by using staplers. Many studies have different opinions about these two techniques. So this study is carried out with objectives to compare these two methods of anastomosis in terms of duration of anastomosis, duration of operation and duration of hospital stay. MATERIALS AND METHODS: Patients who underwent gastrointestinal anastomosis between June 2009 and November 2011 at SSG hospital were considered in the study after taking written informed consent. All these patients were thoroughly investigated pre- operatively. Patients were randomized alternatively either to the stapler group or the hand sewn group. Time taken for anastomosis was noted along with noting of total time of operation was done. RESULTS: The study comprised of 50 patients undergoing 60 gastrointestinal anastomosis. Majority of patients were in the age group of 30-50 years. Gastro jejunal anastomosis was the most common anastomosis in both the groups. The average time taken for stapler group was 4 minutes, while that of hand sewn group was 39 minutes which is found to be statistically significant. Whereas the average time taken for operation and the average hospital stay of the patients in both the groups was similar and was not found to be significantly different. CONCLUSION: The use of stapler is safe, easy and quicker as compared to the conventional methods like hand sewn. Of course cost is the negative factor for a country like India.
Authors and Affiliations
Gaurang Raiyani1 , Anis Vohra2 , Kedar Mehta3*
Keywords
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