HAND SEWN SINGLE LAYER SEROSUBMUCOSAL INTER-RUPTED VS. CONTINUOUS INTESTINAL ANASTOMOSIS

Abstract Objectives:   To compare the effectiveness of single layer serosubmucosal (extramucosal) continuous / interrupted intestinal anastomosis. Design:  Prospective comparative study. Setting:   Department of surgery Nawabshah Medical Memon J.M. 1 Professor and Head of Surgery Department Ghulam Muhammad Mahar Medical College, Sukkur Solangi R.A. 2 Professor of Surgery Ghulam Muhammad Mahar Medical College, Sukkur Baloch I. 3 Assistant Professor of Surgery Ghulam Muhammad Mahar Medical College, Sukkur Memon M.R. 4 Professor of Surgery Ghulam Muhammad Mahar Medical College, Sukkur Bozdar A.G. 5 Associate Professor Surgery Ghulam Muhammad Mahar Medical College, Sukkur Naqvi S.Q.H. 6 Professor of Pathology People's University of Health and Medical Science, Nawabshah College Hospital Nawabshah and GMMC Hospital sukkur. Study Period:   From January 2007 to January 2012. For period of 6 year. Subject:   Total of 174 patients undergoing construct-ion of intestinal anastomoses. Evaluation:   For anastomotic leakage. Results:   Overall 13 (7.47%) patients developed anas-tomotic leakage, 3 (1.72%) patients had sub-clinical and 10 (5.74%) clinical (obviously) anastomoitc leak-age. 7 (8.04%) patients and 6 (6.89%) developed ana-stomotic leakage, in group "A" and "B" respectively. Conclusion:   Anastomotic failure is a reflection of operating skills, decision making of surgeon and post-operative care. There is no significant difference in anastomotic dehiscence between continuous and inter-rupted single layer serosubmucosal technique if pati-ents selection is proper, however interrupted method is comparatively easy to construct in less accessible site.