Health Condition 1: null- Patients more than 18 years requiring anastomosis of either small or large bowel for various causes, during the study period in the department of surgery will be included in the study group
Conditions
Interventions
Intervention1: Single Layered anastomosis: Type of Intestinal anastomotic technique
Control Intervention1: Double Layered anastomosis: Type of Intestinal anastomotic technique
Sponsors
JAWAHARLAL INSTITUTE OF POSTGRADUATE MEDICAL EDUCATION RESEARCH
Eligibility
Inclusion criteria
Inclusion criteria: Patients more than 18 years requiring anastomosis of either small or large bowel for various causes, during the study period in the department of surgery will be included in the study group Patients undergoing hand-sewn end to end bowel anastomosis, or side to side anastomosis or end to side anastomosis will be included in the study for elective and emergency procedures.
Exclusion criteria
Exclusion criteria: Patients requiring anastomosis to the rectum, or duodenum will be excluded as both the ends of the bowel may not be fully mobilized for a double-layered anastomosis. Patients requiring anastomosis to the stomach are also excluded because of presumably increased risk of haemorrhage from stomach. Patients in which the surgeon believes that either one of the suturing techniques could not be possible due to technical concerns such as oedema or scarring.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of Anastomotic leakTimepoint: 3 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Length of hospitalization - Bleeding - Wound infection - Anastomotic stricture - Prolonged functional ileus - Rate of Complications - Mortality rateTimepoint: 3 months | — |
Countries
India
Contacts
Public ContactAniruthan Deivasigamani
Jawaharlal nehru institute
Outcome results
None listed