Outcome of Single Layer Gastrointestinal Anastomoses in Pediatric Age Group
Journal Title: New Indian Journal of Surgery - Year 2019, Vol 10, Issue 3
Abstract
Background and objectives: Many different techniques are currently used to join segments of the gastrointestinal tract following resection. This study is intended to study the feasibility of single layer technique in our setup, to study the disease groups undergoing gastrointestinal resection and anastomoses, and to study safety and efficacy of polyglactin in single layer gastrointestinal anastomoses in terms of early postoperative leak. Methods: A total of 50 patients were selected randomly to represent different disease groups from 312 gastrointestinal anastomoses performed Govt Mohan Kumaramangala Medical College Hospita (GMKMCH) l, Salem, Tamilnadu during October 2012 to September 2017. Patient underwent laparotomy, resection and end to end anastomoses of gastrointestinal tract at various levels with single layer technique using polyglactin as suture material. Results: In upper GI tract most common disease in our study requiring resection and anastomoses was Meckels diverticulum 9 (18%) and lower GI tract was Intussusception 14 (28%). Out of 50 resection and anastomoses there were 2 anastomotic leaks, 1 anstomotic stricture, and 2 deaths (not related to anastomoses). Interpretation and Conclusion: Anastomoses performed in elective surgeries healed well with less complications as compared to emergency surgeries. Single layer anastomoses with vicryl is the method of choice throughout the gastrointestinal tract for various diseases with less complications in pediatric age also.
Authors and Affiliations
Shankar Mohan
Keywords
Related Articles
- EP ID EP594863
- DOI 10.21088/nijs.0976.4747.10319.15
- Views 87
- Downloads 0
Comparitive Study between Conventional Hemorrhoidectomy with Harmonic Scalpel Hemorrhoidectomy
roduction: Hemorrhoids are common anal disorders. Surgical treatment required for third and fourth degree hemorrhoids. Milligan –Morgan hemorrhoidectomy is most commonly performed surgery for hemorrhoids, however in rece...
Hernia of Canal of Nuck
Introduction: Inguinal hernia in females is quite rare and is diagnosed late due to the rarity of this condition and hence lack of awareness. Hernia of canal of nuck can be managed by various methods but Non-mesh repair...
A Retrospective Study of Wild Boar Inflicted Injuries in a Rural Tertiary Healthcare Centre in India
Aim: To analyse wild boar bite injuries presenting at tertiary healthcare center, assess their impact & to suggest appropriate measures to counteract the problem. Background: Human injury resulting from encounters with n...
A Clinico-Pathological Study and Management of Benign Breast Disorders
Context: Benign Breast disease occurs in females from child hood, puberty to menopause It is 10 times more than breast cancer. 30% of female population suffers from breast disease. This study was undertakento evaluate t...
Adult Female Lump Abdomen
Intussusception is commonly seen in pediatric age group and is rare in adults. Adults with intusussusception present with non specific symptoms and diagnosis is made by imaging. Most of the times the treatment requires r...