Nasim Afzal Tarar.
Evaluation of extra mucosal single layer intestinal anastomosis technique.
Pak Armed Forces Med J Jan ;53(2):124-5.

An insecure intestinal anastomosis is an unacceptable iatrogenic hazard. The breakdown of suture line or anastomosis may result into hemorrhage, leakage, Stenosis, diverticular formation and ultimately faecal fistula with serous faecal and septic complications. The sound haeling of process of anastomosis depends mainly on anastomosis technique, which is the most important determinant. Therefore the main objective of this study was to assess/evaluate anastomotic technique. This cohort study with 50 cases necessitating intestinal anastomosis was designed at CMH Pano Aqil from January 2001 to August 2002. This comprised of 40 (80%) males, 10 (20%) females, which were mainly young adults. Patients with gunshot, sharp and blunt object trauma to the abdomen/gun were 35(70%) alongwith 15 (30%) patients in whom intestinal perforation was non traumatic in origin. Only one case showed minor anastomotic leak, which settled without surgical intervention. It is concluded that extramucosal single layer intestinal anastomosis is simple, safe, easy and logical technique.

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