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- Title
"PROSPECTIVE STUDY OF VARIOUS SURGICAL TECHNIQUES AND FACTORS AFFECTING THE OUTCOME OF BOWEL ANASTAMOSIS".
- Authors
M. S., W. SUDHAKAR; RAM, MUNAGAVALASA ADITYA; REDDY, KANALA INDRASENA; THIRUPATI, SUNKU; SURYA, V. SADA; PRASAD, K. ESWAR; PRASAD, C. V. SIVA; VARSHA, K. SRI
- Abstract
Background: Bowel resection and anastomosis are commonly performed surgeries in general surgery for various causes like gangrene bowel, perforation, carcinomas. Bowel anastomosis can be done by hand sewen technique or using staplers. There are various factors that affect anastomosis healing are poor nutritional status, diabetes mellitus, anaemia, smoking etc. most common complications of bowel anastomosis are anastomotic leak, bleeding, stricture, obstruction The main aim of the study is 1. To study the outcome of anastomosis performed through hand-sewn Versus stapler. 2. To study the outcome of anastomosis done in elective surgeries versus Emergency surgeries. 3. To study various factors affecting the outcome of bowel anastomosis. Methods: The study is a prospective cross-sectional study of 50 cases who Attended Surgical OPD and casualty (emergency department), Andhra Medical College, King George Hospital, Visakhapatnam and underwent bowel resection and anastomosis over two years.A detailed history and physical examination after taking informed Consent. Investigations like erect x-ray abdomen, Ultrasonogram abdomen, Routine blood investigations like complete blood picture, blood sugar, Renal function tests, liver function tests, and contrastenhanced Computerized tomography (CECT) abdomen if necessary. Results: -The incidence of AL in the present study is 11%. 63.6% of the AL is seen In males. -The majority of them are seen in the 7th decade, followed by the 4thDecade. - Smoking, anemia, and hypoalbuminemia are significant risk factors for AL. -Diabetes mellitus, as such, is not a significant risk factor for AL. - 40% of the patients having sepsis developed AL. -8 out of 11 AL are of emergency, which is statistically significant. -AL is not significantly associated with either hand-sewn or stapler in Whichever circumstance used. -CRP is significantly associated with the development of AL (p<0.01). CONCLUSIONS: There is no significant difference between hand sewen and stapler anastomosis. Preoperative factors like anemia, hypoalbunemia, smoking are the risk factors for anastomotic leak. Serum c reactive protein is a predictor of anastomotic leak.
- Subjects
STAPLERS (Surgery); OPERATIVE surgery; SURGERY; SURGICAL emergencies; COMPUTED tomography; LONGITUDINAL method
- Publication
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research), 2024, Vol 15, Issue 4, p118
- ISSN
0975-3583
- Publication type
Article