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Related Experiment Videos

Intestinal anastomosis in children: a comparative study between two different techniques

R M Ordorica-Flores1, E Bracho-Blanchet, J Nieto-Zermeño

  • 1Department of Pediatric Surgery, Hospital Infantil de Mexico Federico Gómez, Universidad Nacional Autónoma de México, México City.

Journal of Pediatric Surgery
|December 30, 1998
PubMed
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One-layer intestinal anastomosis in children is as safe as two-layer techniques but significantly faster. This single-layer method is recommended for pediatric intestinal surgery due to its efficiency and comparable safety outcomes.

Area of Science:

  • Pediatric Surgery
  • Surgical Techniques
  • Gastrointestinal Surgery

Background:

  • Intestinal anastomosis is a critical procedure in pediatric surgery.
  • Choosing the optimal technique impacts patient outcomes and surgical efficiency.
  • Comparing single-layer versus two-layer suture methods is essential for pediatric cases.

Purpose of the Study:

  • To compare the incidence of surgical complications between one-layer and two-layer intestinal anastomosis techniques in children.
  • To evaluate the safety and efficacy of different suture methods for pediatric intestinal repair.

Main Methods:

  • A randomized clinical trial involving 86 children undergoing intestinal anastomosis.
  • Comparison of single-layer (Gambee stitches) versus two-layer (Connel-Mayo/Lembert stitches) techniques.

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  • Blind follow-up for 18–36 months to assess postoperative recovery and complications.

    • Main Results:

    • No significant difference in intestinal dehiscence rates between the two groups (5.8% overall).
    • Single-layer anastomosis took significantly less surgical time (26 minutes) compared to two-layer (43 minutes) (P<.001).
    • No instances of stenosis were observed during the follow-up period.

    Conclusions:

    • One-layer intestinal anastomosis is as safe as two-layer techniques in pediatric patients.
    • The single-layer method offers a significant reduction in operative time.
    • Single-layer suture technique is proposed as the preferred method for pediatric intestinal anastomosis.