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العنوان
Study To Evaluate The Otcome Of Single Layer Interrupted Serosubmucosal (Extra Mucosal) Intestinal Anastomosis /
المؤلف
Zaki, Mina Nabil Estefanos.
هيئة الاعداد
باحث / مينا نبيل اسطفانوس زكى
مشرف / عواطف السيد فرغلى
مشرف / أحمد محمد فوزى
تاريخ النشر
2015.
عدد الصفحات
95 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة
الناشر
تاريخ الإجازة
23/8/2015
مكان الإجازة
جامعة المنوفية - كلية الطب - الجراحة العامة
الفهرس
Only 14 pages are availabe for public view

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Abstract

Leakage from an anastomosis in the gastrointestinal tract is a major complication that is often associated with increased morbidity, mortality and hospital stay.( Bruce ,et al,2001) Postoperative leak rates are frequently used as an indicator of the quality of surgical care provided.
Dehiscence after small gut increases the post-operative mortality rate due to peritonitis and septicemia.( Petersen .et al,2001) Anastomotic leak may be due to certain underlying risk factors which are recognized to work alone or in combination. (Kayahara .et al,2000)
The aim of this work was to evaluate the outcome of single-layer interrupted extramucosal enteroenteric intestinal anastomosis as regards cost efficacy, hospital stay, operative time and post-operative leakage.
This study was conducted through 50 patients who required small gut intestinal anastomosis either in elective or emergency situation, regardless the cause of intestinal resection provided that the patient is not suffering of peritonitis or intra abdominal sepsis.
Patients were 22 women (44 %) and 28 men (56 %), the mean age was 42.48 years ± 15.04 years, ranging from 15 to 70 years, all cases were subjected to full history taking and clinical examination then investigated before operation by routine laboratory investigations, complete blood picture, blood glucose level, serum urea, serum creatinine, and serum albumin level. Ultrasonography of the abdomen and multislice.