“A CLINICAL STUDY ON RESECTION AND ANASTOMOSIS OF BOWEL IN OUR SURGICAL PRACTICE”

Abstract

Introduction: Bowel resection and anastomosis have a history dating back to the 19th century, and are crucial for gastrointestinal diseases like colorectal cancer and IBD. Techniques include hand-sewn, stapled, and laparoscopic methods. Postoperative complications include ileus, bleeding, restrictions, and adhesions. Postoperative management requires a multidisciplinary approach, with ongoing follow-up crucial for disease recurrence. Aims: The study aims to analyze clinical and surgical factors influencing outcomes of intestinal resection and anastomosis at Tertiary care hospital, assess gastrointestinal tract healing post-anastomosis, and determine the optimal suture material. Methodology: The study aimed to observe real-time outcomes of patients undergoing bowel resection and anastomosis procedures at the Krishna Institute of Medical Sciences in India. The study involved 72 patients with various clinical conditions and aimed to capture seasonal variations and provide comprehensive data collection and analysis. The study focused on patient demographics, surgical procedures, postoperative complications, hospital stay, recovery outcomes, and follow-up results. Results: The study analyzed 72 patients undergoing intestinal resection and anastomosis, primarily caused by obstruction, inflammatory bowel disease, malignancy, trauma, and ischemia. Results showed that younger patients had better post-surgery healing outcomes, and sutures and staples had higher healing rates. Post-surgery complications and recovery parameters were also significant. Discussion: The study found that male patients had a higher healing rate and a higher incidence of intestinal obstruction, suggesting understanding these factors can improve patient outcomes. Conclusion: The study emphasizes the significance of demographic and clinical factors in surgical recovery, recommending personalized preoperative optimization, tailored care, enhanced protocols, resource allocation, and training.