A comparative study between single layer versus double layer closure in ileostomy reversal
Background: Ileal perforation peritonitis is a common surgical emergency in the Indian subcontinent and in tropical countries. Formation of an intestinal stoma is frequently a component of surgical intervention for diseases of the small bowel. The technique for stoma reversal has remained controver...
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| Format: | Article |
| Language: | English |
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Manipal College of Medical Sciences, Pokhara
2014-10-01
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| Series: | Asian Journal of Medical Sciences |
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| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/10080 |
| _version_ | 1818502316241715200 |
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| author | Sushil Mittal |
| author_facet | Sushil Mittal |
| author_sort | Sushil Mittal |
| collection | DOAJ |
| description | Background: Ileal perforation peritonitis is a common surgical emergency in the Indian subcontinent and in tropical countries. Formation of an intestinal stoma is frequently a component of surgical intervention for diseases of the small bowel. The technique for stoma reversal has remained controversial is the use of either one or two layers of sutures for anastomosis.
Methods: Sixty patients with ileostomy were taken for study .These patients divided in two groups A and B, 30 each. These patients were taken up for ileostomy closure in single layer (group A) (n-30) &double layer (group B) (n-30).
Results: 60 Patients of ileostomy were studied, divided equally in 2 groups, A decreased intra operative time was seen in Group A when compared with Group B with no any significant comparative complication in these groups.
Conclusion: Two-layer anastomosis for ileostomy closure offers no definite advantage over single layer anastomosis in terms of postoperative leak and other complications. Single layer ileostomy closure technique is safe, easy to perform and simply to taught. Considering duration of the anastomosis procedure and medical expenses single-layer intestinal anastomosis may prove the choice of procedure for most of the surgeons. |
| first_indexed | 2024-12-10T21:08:37Z |
| format | Article |
| id | doaj.art-e46280f04cac44a4aa85f6c2b3380ed7 |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-12-10T21:08:37Z |
| publishDate | 2014-10-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-e46280f04cac44a4aa85f6c2b3380ed72022-12-22T01:33:34ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762014-10-01624346https://doi.org/10.3126/ajms.v6i2.10080A comparative study between single layer versus double layer closure in ileostomy reversalSushil Mittal 0Associate Professor, Department of Surgery, Government Medical College, PatialaBackground: Ileal perforation peritonitis is a common surgical emergency in the Indian subcontinent and in tropical countries. Formation of an intestinal stoma is frequently a component of surgical intervention for diseases of the small bowel. The technique for stoma reversal has remained controversial is the use of either one or two layers of sutures for anastomosis. Methods: Sixty patients with ileostomy were taken for study .These patients divided in two groups A and B, 30 each. These patients were taken up for ileostomy closure in single layer (group A) (n-30) &double layer (group B) (n-30). Results: 60 Patients of ileostomy were studied, divided equally in 2 groups, A decreased intra operative time was seen in Group A when compared with Group B with no any significant comparative complication in these groups. Conclusion: Two-layer anastomosis for ileostomy closure offers no definite advantage over single layer anastomosis in terms of postoperative leak and other complications. Single layer ileostomy closure technique is safe, easy to perform and simply to taught. Considering duration of the anastomosis procedure and medical expenses single-layer intestinal anastomosis may prove the choice of procedure for most of the surgeons.https://www.nepjol.info/index.php/AJMS/article/view/10080ileostomy closureacute abdomenperitonitisanastomosisstoma reversal |
| spellingShingle | Sushil Mittal A comparative study between single layer versus double layer closure in ileostomy reversal Asian Journal of Medical Sciences ileostomy closure acute abdomen peritonitis anastomosis stoma reversal |
| title | A comparative study between single layer versus double layer closure in ileostomy reversal |
| title_full | A comparative study between single layer versus double layer closure in ileostomy reversal |
| title_fullStr | A comparative study between single layer versus double layer closure in ileostomy reversal |
| title_full_unstemmed | A comparative study between single layer versus double layer closure in ileostomy reversal |
| title_short | A comparative study between single layer versus double layer closure in ileostomy reversal |
| title_sort | comparative study between single layer versus double layer closure in ileostomy reversal |
| topic | ileostomy closure acute abdomen peritonitis anastomosis stoma reversal |
| url | https://www.nepjol.info/index.php/AJMS/article/view/10080 |
| work_keys_str_mv | AT sushilmittal acomparativestudybetweensinglelayerversusdoublelayerclosureinileostomyreversal AT sushilmittal comparativestudybetweensinglelayerversusdoublelayerclosureinileostomyreversal |