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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
133

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Murine Ileocolic Bowel Resection with Primary Anastomosis
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A Systematic Review of Single-Layer Versus Double-Layer Intestinal Anastomosis: Is One Better?

David E M Winston1, Nancy Pina1, Tomasz Kasprzycki1

  • 1Department of General Surgery, TidalHealth, Salisbury, Maryland.

The Journal of Surgical Research
|August 24, 2024
PubMed
Summary

Single-layer intestinal anastomosis is as safe as double-layer anastomosis, with similar leak rates and shorter procedure times. This review compares outcomes of handsewn intestinal anastomoses.

Keywords:
AnastomosisSingle-layer versus double-layerSystematic review

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Area of Science:

  • Surgical Techniques
  • Gastrointestinal Surgery
  • Evidence-Based Medicine

Background:

  • Randomized controlled trials (RCTs) comparing handsewn single-layer and double-layer intestinal anastomosis in adults are reviewed.
  • The safety and efficacy of different intestinal anastomosis techniques are crucial in gastrointestinal surgery.

Purpose of the Study:

  • To systematically review RCTs comparing outcomes of single-layer versus double-layer intestinal anastomosis.
  • To evaluate anastomotic leakage rates, mortality, and hospital stay between the two techniques.

Main Methods:

  • A comprehensive literature search was performed across PubMed, SCOPUS, and Web of Science databases.
  • The search included studies published up to September 14, 2023, using specific keywords for single-layer and double-layer anastomosis.

Main Results:

  • Seven of eight studies found no significant difference in anastomotic leakage rates between single-layer and double-layer techniques.
  • One study indicated a higher leakage rate with double-layer anastomosis (15/100 vs. 5/100).
  • Single-layer anastomosis demonstrated a shorter completion time compared to double-layer anastomosis.

Conclusions:

  • Single-layer and double-layer intestinal anastomosis exhibit comparable rates of anastomotic leak, mortality, and hospital stay in adult patients.
  • Single-layer intestinal anastomosis offers the advantage of reduced operative time.