A prospective study on the outcome of stapler versus hand-sewn anastomosis of bowel in a tertiary care center
DOI:
https://doi.org/10.71152/ajms.v16i8.4532Keywords:
Bowel anastomosis; Hand-sewn technique; Stapler technique; Post-operative outcomes operative timeAbstract
Background: Bowel anastomosis, performed using either hand-sewn or stapler techniques, is crucial for restoring intestinal continuity after bowel resection. While stapler anastomosis offers efficiency and reduced operative time, handsewn techniques provide precise tissue control, with both methods having varying outcomes based on patient and surgical factors.
Aims and Objectives: This study aimed to compare the post-operative outcomes of hand and stapler techniques for bowel anastomosis.
Materials and Methods: This prospective comparative study included 100 patients from the Department of General Surgery, Government Medical College, Omandurar. After obtaining ethical approval, data were collected through history, examination, and post-operative follow-up. The hand sewn group (n=50) served as the control group, while the stapler group (n=50) formed the study group. Post-operative comparisons were conducted using questionnaires and proformas.
Results: The stapler technique significantly reduced the procedure time in subtotal gastrectomy (P=0.041), right hemicolectomy (P=0.03), and low anterior resection (P=0.032). Enteral feeding was initiated earlier in low anterior resection (P=0.002) and right hemicolectomy (P=0.04). Hospital stays were shorter in subtotal gastrectomy (P=0.032) and low anterior resection (P=0.045). Return to work was faster in subtotal gastrectomy (P=0.04). Anastomotic leaks were slightly more frequent in the hand-sewn group (P=0.075), with no significant difference in mortality (P=0.354).
Conclusion: Stapler anastomosis reduced the surgery duration and allowed earlier bowel sounds and enteral feeding. However, hospital stay and return to work showed no significant differences. Overall, stapler anastomosis offers better outcomes, except for its higher cost compared to hand-sewn anastomosis.
Downloads
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Asian Journal of Medical Sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Authors who publish with this journal agree to the following terms:
- The journal holds copyright and publishes the work under a Creative Commons CC-BY-NC license that permits use, distribution and reprduction in any medium, provided the original work is properly cited and is not used for commercial purposes. The journal should be recognised as the original publisher of this work.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
