Afsar Ali Bhatti, Tanveer Anwer, Sikander H Gondal, Lateef M.
Comparison of Outcome between Stapled verses Hand Sewn Intestinal Anastomosis.
Pak J Med Health Sci Jan ;7(4):921-4.

Aim: To compare the outcome in term of anastomosis leakage of hand sewn technique (two layer anastomosis) and stapler technique in intestinal anastomosis. Setting: Study was conducted in departments of surgery at Jinnah Hospital and General Hospital Lahore. Duration of study: Study was conducted in a period of six months from 17 -12-2009 to 17 - 06- 2010. Study design: Quasi experimental Methods: Seventy patients were divided in two groups of 35 patients each. In group A, hand sewn anastomosis while in group B, stapled anastomosis was performed. The patients were followed up for 14 days for the anastomosis leakage. Chi-square test was applied to know if there was any statistical significance. P-value <0.05 was considered as significant. Results: In our study, anastomotic leakage occurred in 3 (8.6%) patients of group A and in one (2.9%) patients of group B (p=0.303). = Conclusion: Statistically there is no significant difference between two groups in terms of leakage. However, stapled anastomosis holds better overall outcome as compared to hand sewn anastomosis.

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