الفهرس 
Title: Effect of omentoplasty on the rate of leakage following intestinal anastomosis
ContantsOnly 14 pages are availabe for public view
 |  | from | 79 |  |  |
| | | from | 79 | | |
Abstract
Intestinal resection & anastomosis is a lifesaving procedure & relatively common in emergency settings regardless the underlying etiology. However, anastomotic leakage is a major life threatening postoperative complication after intestinal surgery leading to increased risk of morbidity and mortality.
To decrease the rate and severity of anastomotic leakage, emphasis is placed on the meticulous technique of anastomosis without any tension and good vascularity of the substitute. On the basis of experimental and clinical studies, omentoplasty (wrapping the omentum around the alimentary tract anastomosis) has been proposed by several authors to reinforce sutures, in the expectation of lowering the rate of anastomotic leakage due to its high vascularity and its effect s mechanical barrier to empower healing of anastomosis.
Aim and Objectives: comparison between the incidence of leakage post intestinal anastomosis with and without Omentoplasty.
Patients and methods: A randomized control study (RCs) was conducted at Kasr AlAiny, Emergency department, Cairo university hospitals on 64 patients, divided into two equal groups; omentoplasty and No omentoplasy groups over duration of 1 year.
Results: The mean ± SD age of patients in the omentoplasty group and non-omentoplasty group were 48.45 ±15.41 and 49.31 ± 12.81, respectively (P =0.8), with a male : female ratio 21 (65.6%) : 11 (34.4%) and 15 (46.9%) : 17 (53.1%) respectively (P = 0.13).
The anastomotic outcome revealed leakage in 12 cases out of 64 cases with percent 18.75%. where 4 cases developed post-operative leakage in the omentoplasty group, 2 of which required re-exploration and diversion, the other 2 patients improved conservatively, while in no omentoplasty group 8 cases developed post-operative leakage, all of which required reexploration and diversion with 2 cases of mortality. P < 0.05 Conclusion: Application of omental wrap to the intestinal anastomosis has significantly
decreased the incidence of leakage, even in the presence of unfavorable condition of the patient.