THE SAFETY OF SINGLE INTERRUPTED EXTRAMUCOSAL SUTURING OF THE BOWEL

Dr. Jalil I. Khalaf* and Dr. Saad Y. Ibrahim

ABSTRACT

Background Leakage from an anastomosis in the gastrointestinal tract is a major complication that is often associated with increased mortality, morbidity and prolonged stay .there are different techniques in suture of bowel anastomosis include. • Suture– Single layer (interrupted or continuous) – double layer. • Stapler (linear, circular). The first one who used this technique (extramucosal single interrupted layer) was halsted, with big argument at that time(1887) about that method. Objective: To evaluate the safety of the suturing bowel anastamosis with single interrupted extra mucosal technique. Patients and Method: This is a prospective study conducted in Baquba teaching hospital from march 2011 till November 2013 include 154 patients with bowel operation for emergency and elective cause. The bowel was sutured with silk no. 2/0 by single interrupted extramucosal method for anastomosis and perforation. Results: There were no leak or dehiscence of suture or fecal fistula and all of patients start oral feeding early with no complications. Conclusion: Single layer interrupted serosubmucosal (extramucosal) technique is effective and safe , less time consuming, performed easily, simple technique to teach. less morbidity and mortality.

Keywords: .