The Comparison of Hand Sewn and Stapled Anastomoses

  • 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
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.

Downloads

Download data is not yet available.
Published
2022-06-26
How to Cite
Hussain, T., Jabbar, A., Ahmed, N., Shah, N., Zulfiqar, M., & ., A. (2022). The Comparison of Hand Sewn and Stapled Anastomoses. PAFMJ, 72(3), 1004-07. https://doi.org/10.51253/pafmj.v72i3.6833
Section
Original Articles

Most read articles by the same author(s)