scholarly journals Faecal Fistula Following Single Layer non Absorbable Suture Technique in Sigmoid Volvulus Surgery

2017 ◽  
Vol 5 (12) ◽  
Author(s):  
Prof. Dr Braja Mohan Mishra ◽  
Keyword(s):  
Single Layer ◽  
Sigmoid Volvulus ◽  
Suture Technique ◽  
Absorbable Suture

scholarly journals Single Layer Versus Double Layer Anastomosis of Small Intestine – A Comparative Study from Karnataka, India

2021 ◽  
Vol 10 (30) ◽  
pp. 2300-2304
Author(s):  
Tejaswini Murari Pawar ◽  
Ravikiran Hosur Ramamurthy ◽  
Shashirekha Chikkavenkataswamy Anjaneyulu
Keyword(s):  
Hospital Stay ◽  
Double Layer ◽  
Suture Material ◽  
Intestinal Anastomosis ◽  
Single Layer ◽  
Absorbable Suture ◽  
Duration Of Hospital Stay ◽  
Absorbable Suture Material ◽  
Significant Difference ◽  
Layer Technique

BACKGROUND Intestinal anastomosis is an operative procedure that is of importance in the practice of surgery. It is a very commonly performed technique in today’s surgical era. We wanted to study the postoperative complications like anastomotic leak and abscess formation and duration of hospital stay in single layer and double layer anastomosis and compare the same. METHODS In our prospective observational study, 80 patients were reviewed and were divided into 2 groups. Cases were allotted to either group based on the odd even method requiring single- and double-layer anastomosis, odd being single layer and even being double layer anastomosis. Intestinal anastomosis was carried out in single layer technique with delayed absorbable suture material and double layer technique with inner transmural layer with delayed absorbable suture material and seromuscular layer with non-absorbable suture material. RESULTS Each group had 40 patients, there was significant difference noted between the groups. Mean duration of hospital stay in single layer group was 17.85 ± 7.62 days and in double layer group was 26.20 ± 16.12 days (P = 0.043 *). In single group, mean time taken for anastomosis was 18.50 ± 1.73 and in double group was 29.05 ± 2.19. There was significant difference in time taken between two groups (P < 0.001). In single group, majority of subjects had no anastomotic Leak (95 %) and 5 % had leak. In double group 70 % had no leak and 30 % had leak. P value was statistically significant (P = 0.037). CONCLUSIONS Single layer anastomosis was better in terms of duration of hospital stay, postoperative anastomotic leaks and time taken for anastomosis. KEY WORDS Single Layer, Double Layer, Small Bowel, Duration of Hospital Stay, Anastomotic Leaks

scholarly journals SIGMOID VOLVULUS

2018 ◽  
Vol 25 (10) ◽  
pp. 1562-1567
Author(s):  
Ali Akbar Ghumro ◽  
Altaf Hussain Ghumro ◽  
Abdul Hakeem Jamali
Keyword(s):  
Primary Repair ◽  
Primary Anastomosis ◽  
Single Layer ◽  
Developed Countries ◽  
Large Bowel Obstruction ◽  
Sigmoid Volvulus ◽  
High Morbidity ◽  
Female Ratio ◽  
Male Female Ratio ◽  
Medical University

Introduction: Sigmoid volvulus is the surgical emergency and significant causeof large bowel obstruction in with high morbidity and mortality. Disease is more prevalent indeveloping countries than developed countries. It contributes 15% of total bowel obstruction.Resection and primary anastomosis is the procedure of choice. It obviates the need ofcolostomy and subsequent reversal. Objectives: To determine the frequency of postoperativecomplications of primary repair in patients with either viable or gangrenous sigmoid volvulus.Study Design: Retrospective study. Setting: Surgical Unit 1 of Peoples Medical CollegeHospital now Medical University. Period: 2007 to Dec. 2013. Methodology: Patients with largebowel obstruction suspected to have sigmoid volvulus on clinical and radiological grounds werestudied. Laparotomy and resection of sigmoid colon followed by restoration of the continuity ofthe colon by single layer primary anastomosis were performed without colostomy. Results: In atotal 50 patients, sigmoid volvulus male female ratio was 9:1. Mean age was 49 years majority ofthe patients were in 6th to 7th decade of age. In 96% cases abdominal pain was the 1st symptomfollowed by constipation and distention, vomiting was the rare symptom. Different postoperativecomplication results were surgical site infection was the commonest complication in 40 (80%)while in 1 (2%) leak was there with mortality of only 1(2%) case. Conclusion: Primary resectionand single stage anastomosis is the best choice for the management of sigmoid volvulusdisease in both possibilities of viable or non viable gut provided patients condition is stable. Itobviates the burden of colostomy

Absorbable Suture Technique: Solution to the Growth Problem in Pediatric Pacing with Endocardial Leads

1998 ◽  
Vol 21 (1) ◽  
pp. 65-68 ◽  
Author(s):  
PETAR STOJANOV ◽  
DUSAN VELIMIROVIC ◽  
VLADIMIR HRNJAK MD ◽  
SINISA U. PAVLOVIC ◽  
MIRJANA ZIVKOVIC ◽  
...  
Keyword(s):  
Suture Technique ◽  
Absorbable Suture ◽  
Growth Problem

Single-layer continuous colon and rectal anastomosis using monofilament absorbable suture (Maxon®)

1999 ◽  
Vol 42 (6) ◽  
pp. 736-740 ◽  
Author(s):  
W. L. Law ◽  
Randolph H. Bailey ◽  
Ernest Max ◽  
Donald R. Butts ◽  
Kenneth W. Smith ◽  
...  
Keyword(s):  
Single Layer ◽  
Absorbable Suture ◽  
Rectal Anastomosis

scholarly journals Online survey on uterotomy closure techniques in caesarean section

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Celine Kaps ◽  
Alexander Schwickert ◽  
Desislava Dimitrova ◽  
Andreas Nonnenmacher ◽  
Jan-Peter Siedentopf ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Online Survey ◽  
Single Layer ◽  
Late Complications ◽  
Suture Technique ◽  
Suture Techniques ◽  
Online Questionnaire ◽  
Closure Technique ◽  
Levels Of Care ◽  
Suturing Technique

Abstract Objectives Uterine closure technique in caesarean section (CS) influences the rate of late complications in subsequent pregnancies. As no common recommendation on suture techniques exists, we developed a questionnaire to determine the techniques currently used and the frequencies of late complications. Methods The online questionnaire consisted of 13 questions and was sent to 648 obstetric hospitals (level I–IV) in Germany. Number of CS, rate of vaginal birth after caesarean section (VBAC), the type of uterus suturing technique and the frequency of uterine dehiscences, ruptures and placenta accreta spectrum (PAS) were queried. The answers were anonymous, and results were evaluated descriptively. Results The response rate was 24.7%. The mean CS rate was 27.3% (±6.2), the repeat CS rate 33.2% (±18.1). After CS, 46.2% (±20.2) women delivered vaginally. To close the uterotomy, 74.4% of hospitals used single layer continuous sutures, 16.3% single layer locked sutures, 3.8% interrupted sutures, 3.1% double layer continuous sutures and 2.5% used other suture techniques. The percentages of observed uterine dehiscences did not differ significantly between the different levels of care nor did the uterotomy suture techniques. Conclusions There is no uniform suturing technique in Germany. A detailed description of suture technique in surgery reports is required to evaluate complications in subsequent pregnancies. National online surveys on obstetric topics are feasible and facilitate the discussion on the need to define a standardized uterine closure technique for CS.

scholarly journals Iliofemoral technique modification using an anchor screw as treatment of canine traumatic hip luxation - case report

2020 ◽  
Vol 72 (6) ◽  
pp. 2252-2258
Author(s):  
A.G. Rocha ◽  
R.C. Costa ◽  
G.O. Morato ◽  
D.G. Chung ◽  
J.G. Padilha-Filho ◽  
...  
Keyword(s):  
Surgical Intervention ◽  
Suture Material ◽  
Clinical Results ◽  
Suture Technique ◽  
Absorbable Suture ◽  
Suture Materials ◽  
Absorbable Sutures ◽  
Surgical Difficulty ◽  
Hip Luxation ◽  
Joint Congruence

ABSTRACT Twelve dogs with traumatic hip luxation were selected for surgical intervention with a modified iliofemoral suture technique using an anchor screw to substitute the passage of suture material through a perforated tunnel in the ilium. Six procedures were performed with non-absorbable suture and other six with absorbable suture materials. These cases were evaluated at 15, 30, 60, and 90 days after surgery by performing an ambulation analysis and palpation of the joint. In all cases, there was a return of partial and total limb support in an average of 3 and 19 postoperative, respectively. The fixation strategy of the suture material in the ilium using an anchor screw proved to be efficient with a smaller surgical approach and lesser surgical difficulty, maintaining joint congruence in acute as chronic luxation cases. The use of absorbable and non-absorbable sutures had excellent clinical results, but there was a subjective superiority of the first ones, once 4 dogs of the non-absorbable group presented some discomfort during the postoperative palpation of the joint, 90 days after surgery.

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