Evaluation on Factors Influencing Leakage in Primary Intestinal Anastomosis Within a Tertiary Care Hospital

Authors

  • Utkrisht Kant Assistant Professor, Department of Surgery, Sheikh Bhikhari Medical College, Hazaribag, Jharkhand, India.
  • Aftab Ahmed Assistant Professor, Department of Surgery, SNMMCH, Dhanbad, Jharkhand, India.

DOI:

https://doi.org/10.51168/sjhrafrica.v5i3.1133

Keywords:

Anastomosis leakage, postoperative complication, risk factors

Abstract

Background: Intestinal anastomosis is a procedure carried out widely for various pathological conditions such as benign tumours, malignant tumours, and inflammatory conditions of a certain part of the intestine. The removal of such a part of the intestine requires the joining of the two other parts of the intestine. Postoperatively the occurrence of a leak in this joint can lead to sepsis and increase the occurrence of mortality and morbidity. 

Method: The anastomosis cases of the patients at Sheikh Bhikhari Medical College, Hazaribag are studied retrospectively, and were conducted over two years. 110 cases were reviewed. Clinical and radiological examinations were recorded. The data was statistically analysed and it was correlated with the occurrence of leakage.

Results: Among the 110 patients participating in the study it was observed that 10 patients had anastomosis leakage. 50% of the patients with leakage had diabetes. more than 70% of them had undergone either emergency surgery, with a duration of more than 2 hours, and required blood transfusion. 30% of the patients with leakage had colo-colic site surgery.

Conclusion: In the present study it was found that patients who had undergone anastomosis with associated comorbidity, of the colo-colic region, with more than 2 hours of surgery, emergency surgeries, and the required blood transfusion during the surgery had higher chances of development of the anastomosis leakage.

Recommendation: Surgeons should critically analyze the occurrence of anastomosis leakage considering the predisposing risk factors, intraoperative conditions and site of the surgery.

Published

2024-03-31

How to Cite

Utkrisht Kant, & Aftab Ahmed. (2024). Evaluation on Factors Influencing Leakage in Primary Intestinal Anastomosis Within a Tertiary Care Hospital. Student’s Journal of Health Research Africa, 5(3). https://doi.org/10.51168/sjhrafrica.v5i3.1133

Issue

Section

Section of Anesthesia and Surgery Research