Observation of Intestinal Leakage after Anastomosis with Single and Two Layers in the Right Hemicolectomy

Oct 13, 2025 by magicalceylontours.com 136 views

Observation of Intestinal Leakage after Anastomosis with Single and Two Layers in the Right Hemicolectomy

Introduction

Intestinal leakage after anastomotic procedures is a serious complication that can occur after hemicolectomy, a surgical procedure to remove a portion of the colon. The purpose of this study is to compare the incidence of intestinal leakage in patients undergoing anastomosis with a single layer and two layer sewing methods during the right hemicolectomy procedure. Single layer sewing techniques have been developed and are considered to have a lower risk of leakage compared to two layer techniques based on animal research. However, studies conducted in humans show various results, so it is essential to evaluate these two methods more deeply.

The right hemicolectomy is a surgical procedure that involves the removal of a portion of the colon, typically the ascending colon and part of the transverse colon. Anastomosis is a critical step in this procedure, where the remaining colon is reconnected to the small intestine. The success of anastomosis depends on the technique used, and the choice of single layer or two layer sewing methods has been a topic of debate among surgeons.

Research Methods

This study involved 32 patients who underwent an elective right hemicolectomy at H. Adam Malik Hospital and RSUD Dr. Pirngadi Medan. Patients were divided randomly into two groups: The first group used a single layer sewing technique, and the second group used the two layer technique, with each group consisting of 16 people. The thread used in the procedure was polyglactin (Vycril®) 3-0 size with a tapered point type.

Monitoring of leakage was carried out for 14 days by paying attention to the signs of peritonitis, the presence of fistulas, and the discharge of faeces from the drain tube. Data were analyzed statistically using the Chi-Square method to compare the incidence of intestinal leakage between the two groups.

Research Result

The results showed that there was one patient with intestinal leakage in each group (6.2%). The results of the statistical analysis using the Fisher Exact Test showed the value of P = 1,000, which indicates the absence of significant differences in the incidence of leakage between the two groups. In addition, further analysis also showed the absence of differences in gender distribution and age between the two groups (P> 0.05).

Discussion

Based on the results obtained, it can be concluded that both single layer and two layer sewing techniques have the same level of security in preventing intestinal leakage after anastomosis. Both of these techniques can be relied upon for use in the intestinal anastomosis procedure, but the single layer technique has several advantages.

One of the advantages of the single layer technique is a faster operative time, which can reduce the risk of complications related to anesthesia and accelerate the patient recovery process. In addition, lower costs are also an important factor, especially in the context of health services that increasingly demand efficiency.

The results of this study are consistent with some previous studies that have shown no significant difference in the incidence of intestinal leakage between single layer and two layer sewing techniques. However, other studies have reported conflicting results, highlighting the need for further research to clarify the optimal technique for intestinal anastomosis.

Conclusion

This study shows that the Single Layer and Two Layer suturing techniques have a similar risk of leakage after intestinal anastomosis in the right hemicolectomy. Taking into account the advantages of single layer techniques, such as shorter time and more affordable costs, this method can be a good choice for clinical practice in intestinal anastomosis.

Further research with larger samples is still needed to ensure the consistency of results and to explore other factors that can affect the incidence of intestinal leakage after anastomosis. Additionally, the development of new techniques and materials for intestinal anastomosis is an ongoing area of research, and further studies are needed to evaluate their safety and efficacy.

Recommendations

Based on the results of this study, the following recommendations can be made:

The single layer sewing technique can be a good choice for clinical practice in intestinal anastomosis due to its faster operative time and lower costs.
Further research with larger samples is needed to ensure the consistency of results and to explore other factors that can affect the incidence of intestinal leakage after anastomosis.
The development of new techniques and materials for intestinal anastomosis is an ongoing area of research, and further studies are needed to evaluate their safety and efficacy.

Limitations

This study has several limitations that should be considered when interpreting the results. Firstly, the sample size was relatively small, and further research with larger samples is needed to ensure the consistency of results. Secondly, the study only compared the incidence of intestinal leakage between single layer and two layer sewing techniques, and other factors that can affect the incidence of leakage were not evaluated.

Future Directions

The results of this study highlight the need for further research to clarify the optimal technique for intestinal anastomosis. Future studies should aim to evaluate the safety and efficacy of new techniques and materials for intestinal anastomosis, as well as explore other factors that can affect the incidence of intestinal leakage after anastomosis.

In conclusion, this study shows that the Single Layer and Two Layer suturing techniques have a similar risk of leakage after intestinal anastomosis in the right hemicolectomy. The single layer technique has several advantages, including faster operative time and lower costs, making it a good choice for clinical practice in intestinal anastomosis. Further research with larger samples is still needed to ensure the consistency of results and to explore other factors that can affect the incidence of intestinal leakage after anastomosis.
Q&A: Intestinal Leakage after Anastomosis with Single and Two Layers in the Right Hemicolectomy

Introduction

In our previous article, we discussed the results of a study that compared the incidence of intestinal leakage in patients undergoing anastomosis with a single layer and two layer sewing methods during the right hemicolectomy procedure. In this Q&A article, we will address some of the most frequently asked questions about the study and its findings.

Q: What is the significance of intestinal leakage after anastomosis?

A: Intestinal leakage after anastomosis is a serious complication that can occur after hemicolectomy. It can lead to peritonitis, abscess formation, and even death. Therefore, it is essential to evaluate the techniques used for anastomosis to prevent this complication.

Q: What are the advantages of single layer sewing technique?

A: The single layer sewing technique has several advantages, including faster operative time, lower costs, and reduced risk of complications related to anesthesia. These advantages make it a good choice for clinical practice in intestinal anastomosis.

Q: What are the limitations of this study?

A: This study has several limitations, including a relatively small sample size and the lack of evaluation of other factors that can affect the incidence of intestinal leakage after anastomosis. Further research with larger samples is needed to ensure the consistency of results and to explore other factors that can affect the incidence of intestinal leakage after anastomosis.

Q: What are the implications of this study for clinical practice?

A: The results of this study suggest that the single layer sewing technique can be a good choice for clinical practice in intestinal anastomosis due to its faster operative time and lower costs. However, further research is needed to confirm these findings and to explore other factors that can affect the incidence of intestinal leakage after anastomosis.

Q: What are the future directions for research in this area?

A: The results of this study highlight the need for further research to clarify the optimal technique for intestinal anastomosis. Future studies should aim to evaluate the safety and efficacy of new techniques and materials for intestinal anastomosis, as well as explore other factors that can affect the incidence of intestinal leakage after anastomosis.

Q: Can you summarize the main findings of this study?

A: The main findings of this study are that the single layer and two layer sewing techniques have a similar risk of leakage after intestinal anastomosis in the right hemicolectomy. The single layer technique has several advantages, including faster operative time and lower costs, making it a good choice for clinical practice in intestinal anastomosis.

Q: What are the potential applications of this study?

A: The results of this study have potential applications in the development of new techniques and materials for intestinal anastomosis. Further research is needed to evaluate the safety and efficacy of these new techniques and materials.

Q: How can this study contribute to the development of new treatments for intestinal leakage after anastomosis?

A: This study can contribute to the development of new treatments for intestinal leakage after anastomosis by providing valuable information on the incidence and risk factors of this complication. Further research is needed to develop new treatments that can prevent or treat intestinal leakage after anastomosis.

Q: What are the potential benefits of this study for patients?

A: The results of this study can benefit patients by providing them with a safer and more effective treatment option for intestinal anastomosis. Further research is needed to confirm these findings and to explore other factors that can affect the incidence of intestinal leakage after anastomosis.

Q: How can this study contribute to the development of new surgical techniques for intestinal anastomosis?

A: This study can contribute to the development of new surgical techniques for intestinal anastomosis by providing valuable information on the incidence and risk factors of intestinal leakage after anastomosis. Further research is needed to develop new techniques that can prevent or treat intestinal leakage after anastomosis.

Conclusion

In conclusion, this Q&A article has addressed some of the most frequently asked questions about the study and its findings. The results of this study suggest that the single layer sewing technique can be a good choice for clinical practice in intestinal anastomosis due to its faster operative time and lower costs. Further research is needed to confirm these findings and to explore other factors that can affect the incidence of intestinal leakage after anastomosis.