The Comparison of Hand Sewn and Stapled Anastomoses

Authors

  • Tanweer Hussain Combined Military Hospital Peshawar/National University of Medical Sciences (NUMS) Pakistan
  • Abdul Jabbar Combined Military Hospital Lahore/National University of Medical Sciences (NUMS) Pakistan
  • Naveed Ahmed Combined Military Hospital Sibi/National University of Medical Sciences (NUMS) Pakistan
  • Naqeeb Shah Combined Military Hospital Kohat/National University of Medical Sciences (NUMS) Pakistan, Civil Hospital, Hyderabad Pakistan
  • Mujahid Zulfiqar Combined Military Hospital Peshawar/National University of Medical Sciences (NUMS) Pakistan
  • Anita . Combined Military Hospital Kohat/National University of Medical Sciences (NUMS) Pakistan, Civil Hospital, Hyderabad Pakistan

DOI:

https://doi.org/10.51253/pafmj.v72i3.6833

Keywords:

Hand sewn anastomosis, Loop ileostomy, Stapler

Abstract

Objective: To compare hand-sewn and stapled sutures and the influence of intestinal excision on postoperative complications.

Study Design: Retrospective comparative study.

Place and Duration of Study: General Surgery Department of CMH Peshawar, from Jan 2020 to Jan 2021.

Methodology: Once receiving consent, all individuals hospitalized in the medical facility for ileostomy closure were included in our investigation. In a questionnaire, postoperative complications were documented.

Result: This study involved a total of 60 subjects. Individuals were scheduled for surgery after receiving clearances and a loopogram distally. Thirty patients had their wounds hand-sewn shut, while 30 others had their wounds stapled shut. The mean operating time for the hand-sewn method was 2.46 ± 0.29 hours, compared to 1.86 ± 0.17 hours mean for the stapled method. In both categories, the anastomotic leak was comparable. Thirty patients in the hand-sewn group took a mean of 2.42 ± 0.25 days to return bowel sounds after surgery, whereas it took 1.83 ± 0.20 days to return bowel sounds.

Conclusion: The stapler method greatly decreases the duration of surgery, promotes rapid recovery, and has a lower fatality rate. Stapling is a simple procedure that can be performed in inaccessible locations, such as a low colorectal anastomosis. In elective gastrointestinal procedures, stapler anastomosis can be utilized safely and successfully.

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Published

26-06-2022

How to Cite

Hussain, T., Jabbar, A., Ahmed, N., Shah, N., Zulfiqar, M., & ., A. (2022). The Comparison of Hand Sewn and Stapled Anastomoses. Pakistan Armed Forces Medical Journal, 72(3), 1004–07. https://doi.org/10.51253/pafmj.v72i3.6833

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Original Articles

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