EP-568 A prospective study on single layer bowel repair

Abstract

AimTo determine the efficacy of single layer bowel repair with respect to postoperative complications such as leakage rates, duration of repair, overall length of hospital stay, cost effectiveness, to assess the morbidity, mortality and outcome.MethodsThis prospective study was done on 21 patients admitted under department of surgery from the period of January 2020 to September 2021. All the patients under bowel repair in continuous single layer extramucosal fashion for various etiology, follow up data was collected and analysed.ResultsIn our study, 81% (17 cases) of the single layer bowel repair were done in an emergency setting. The study consisted of 42.9% (9 cases) of perforation repair and 57.1% (12 cases of resection and anastomosis of large or small bowel). The average time duration of anastomosis was 14.45 minutes with the average hospital stay of 13.2 days. Our study showed an anastomotic leak rate of 9.5% (2 cases) with an overall mortality of 19.04% (4 cases) which included 2 cases with COVID-19 related ARDS.ConclusionOur study was determined to analyse the effectiveness of single layer bowel repair and found that it is a quicker and theoretically better technique for bowel repair which avoids unnecessary tissue ischemia. The leakage rates within the study was comparable with other studies published and the studies with double layer bowel repair technique in terms of leak rates and mortality. A meticulously done single layer repair will best double layer repair and surgical trainees must be trained early to perfect the art of bowel anastomosis.