Downloads: 152
Research Paper | Medical Surgical | India | Volume 6 Issue 1, January 2017
Comparison of Hand-Sewn and Stapled Anastomoses in GI Surgeries Based on Clinical Practice at Krishna Hospital, Karad
Dr A. Y. Kshirsagar | Dr. Karan Singla | Dr. Aditya Phadke [6] | Dr. Gayatri Bhagaria
Abstract: Background There is a lack of studies comparing stapled suturing and hand-sewn suturing in GI surgeries in tier 2 towns of India. Methods Data were retrospectively collected from 499 patients who underwent GI surgeries from January 2016 to December 2016. The patients were divided into two groups according to the method of digestive tract reconstruction 296 patients received stapled suturing and 203 patients received hand-sewn suturing. The operation time, postoperative hospital stay, postoperative recovery and complications of the patients were evaluated and compared between the two groups. Results The stapling procedure took shorter operative time compared to the hand-sewn procedure for gastric carcinoma, colorectal cancer and esophageal carcinoma (P < 0.05). There was no significant difference between the two groups in postoperative hospital stay (P > 0.05). Patients receiving hand sewn suturing also showed shorter recovery for gastric cancer, colorectal cancer, and shorter time to recovery of normal gastrocolorectal motility compared with patients in the stapled suturing group (P < 0.05) in rural areas. However, there was no difference between the two groups in terms of normal time to commencing liquid diet for esophageal cancer patients (P > 0.05). We also found that the stapled procedure showed a lower incidence of anastomotic leakage, anastomotic hemorrhage and stump leakage in treating colorectal cancer or gastric carcinoma compared with the hand-sewn procedure (P < 0.05). However the cost of staplers was too high for patients in tier 2 towns making in unaffordable for most of them. Conclusions Application of the stapler in GI surgeries demonstrated no better effects on patients in terms of surgical operation time, recovery time to normal functions, and occurrence of complications compared to hand-sewn anastomosis, especially in gastric carcinoma and colorectal cancer.
Keywords: Stapler, Gastrocolorectal tumor, Anastomosis, Surgery
Edition: Volume 6 Issue 1, January 2017,
Pages: 97 - 100
Similar Articles with Keyword 'Stapler'
Downloads: 3 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1
Research Paper, Medical Surgical, India, Volume 12 Issue 3, March 2023
Pages: 1682 - 1686A Study of Comparison between Suture (Nylon) and Staplers in Closure of Skin Incision of Elective Surgical Procedures
Dr. Surekha [5] | Dr. Brijendra Nigam [2] | Dr. Manisha Nigam [2] | Dr. Ashita Kohli
Downloads: 119
Research Paper, Medical Surgical, India, Volume 5 Issue 12, December 2016
Pages: 1230 - 1233Comparative Study of 40 Cases of Bowel Surgery to See Use Efficacy of Hand Sutures Versus Stapled Sutures
Ankur Kothari [5] | Rajkamal Kanojiya [8] | Ankur Avesthi [4] | Mudunuri Ravi Teja [5] | Sanjay Singhal [3]