Does stapled anastomosis reduce operating time or complications compared to hand-sewn anastomosis in patients undergoing emergency intestinal surgery?
Stapled anastomosis in emergency intestinal surgery reduces operative time without increasing the risk of complications compared to hand-sewn anastomosis.
Objective The choice between a stapler and a hand-sewn intestinal anastomosis is based on surgical experience as well as individual preference. The purpose of the study was to compare the results of hand-sewn versus stapled anastomoses in urgent intestinal procedures. Patients and methods The study included 96 patients who, between October 2020 and October 2022, received emergency intestinal anastomoses at our associated university institutions. Randomly selected patients were assigned to two groups: group A ( n =50) received stapled anastomoses, and group B ( n =46) received hand-sewn anastomoses. Results Patient information, duration of operation, anastomotic leak incidence, and complications following surgery were all documented. Findings Group A’s operating time was substantially less ( P =0.0001). There was no discernible difference in blood loss, leakage rate, wound infection, or mortality between the two groups.
Abdelaziz et al. (Mon,) studied this question.