OBJECTIVE: To see the outcome of single layer extramucosal interrupted suture gut
STUDY DESIGN: Prospective analytical.
SETTING AND METHODS: This study was carried out in the Department of Surgery Unit-I Muhammad
Medical College Mirpurkhas, from August 2004 to July 2007. A total of 72 patients were
included in this study in which gut anastomosis was performed with single layer extramucosal
interrupted suture. Patients of all ages and sex groups were included in whom end-to-end anastomosis
was required in small and large intestine. Polyglactin (Vicryl 2/0 and 3/0) material was
chosen on round body needle.
RESULTS: End-to-end anstomosis in 72 patients was done in cases of ileal perforation 37 / 72
(51.38%) and right hemicolectomy 09/72 (12.50%). Intussusception was the cause in 11/72
(15.27%) cases, mass at recto-sigmoid junction was found in 02/72 (02.77%) strangulated inguinal
hernia in 07/72 (09.72%) patients, jejunal diverticulosis in 01/72 (01.38%), caecal volvulous in
02/72 (02.77%) and sigmoid volvulous in 02/72 (02.77%) cases. Anastomosis leakage occurred
in only 02/72 cases. Mortality remained 1/72 (01.38%).
CONCLUSION: Single-layer extramucosal interrupted suture gut anastomosis is safe method of
hand sewing technique. It is suitable for all anastomosis in the gastrointestinal tract.
Intestinal anastomosis – single layer extramucosal interrupted.