Comparative Study Of Hand Sutures Versus Staplers In Elective Gastric Surgeries In A South Indian Population

Murthy, V and Pai, M V and Bhat, Rahul. R and Thejeswi, Poorna Chandra (2013) Comparative Study Of Hand Sutures Versus Staplers In Elective Gastric Surgeries In A South Indian Population. The Internet Journal of Surgery, 30 (2). ISSN 1528-8242

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Abstract

INTRODUCTION: The development of reliable, disposable instruments over the past 25 years has improved surgical stapling. With modern devices technical failures are rarer and the stapler line is of more consistent quality. AIMS/OBJECTIVES: To compare hand suturing with surgical stapling in a prospective cohort study in patients undergoing elective gastric surgery. METHODS: All 30 patients were classified accordingly into 2 groups with 15 in each of them. The first group was the hand-sewn anastomosis group which included cases with at least one bowel anastomosis without the use of staplers. The second group is the stapler anastomosis group which includes cases with at least one bowel anastomosis done with a stapler. It also includes cases with multiple bowel anastomoses done with both hand sewing and stapler. Compared were the following parameters: duration of surgery, duration of anastomosis, early postoperative complications, and late postoperative complications. All the surgeries were done by the same group of experienced surgeons. RESULTS: The most common diagnosis in our study was carcinoma of the stomach which underwent elective gastric surgery. On an average, oral feeding was started after 4.73 days in the stapler group and after 4.90 days in the hand-sewn group (p>0.05). The average times, by stapler versus hand-sewn, for subtotal gastrectomy, palliative gastrojejunostomy, and total gastrectomy were 129 versus 147 minutes (p <0.05), 85 versus 92 minutes and 147 versus 160 minutes, respectively. There were no major complications and anastomotic leaks in our study. CONCLUSION: With use of staplers there was a significant decrease in duration of subtotal gastrectomy. Return of bowel sounds and hospital stay was not affect by stapler application in our study.

Item Type: Article
Uncontrolled Keywords: elective gastric surgery, hand-sewn anastomosis, staplers
Subjects: Medicine > KMC Mangalore > Surgery
Depositing User: KMCMLR User
Date Deposited: 11 Feb 2014 09:57
Last Modified: 11 Feb 2014 09:57
URI: http://eprints.manipal.edu/id/eprint/138778

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