One-Layer Sutures in Abdominal Cavity Surgery

The aim of our study was to evaluate of short-term outcomes of 4210 patients underwent open abdominal open surgery with used either single absorbable or continuous layer sutures. Anastomosis were made by seromuscolar layer without mucosa. Fluid therapy: GDT and zero-balance GDT was also discussed. Anastomosis leakage developed in 6 patients. They were treated by creating the stomia. Septic shoc was treated in the same time. Re-anastomosis were made in delayed time. Re-anastomosis was performer after septic shoc treatment. Results of treatment with use of two-layer sutures, which was used before 1978. Analysis of 536 patients treated in the same time, in this group 53 patients developed anastomosis leakage. In this group 2 patients survived. The mode of anastomosis in the literature review was discussed. Attention was payed on advantage one-layer sutures under multi-layer sutures: Effectivness, simplicity and lower cost of treatment. Mechanical ileus was rarely observed since ceasing peritonisation abdominal cavity and softening after-operative course with patients with preoperative prepered intestinal track. Post-operetive complications were discussed. TC and MRI were the main tests of diagnosis of post-operetive complications. The main attention was focused on medical observation and clinical examination by experienced surger In order to serach post-operative complications. Antybiotic treatment in post-operation complications was presented and fluid therapy: GDT, zero-balance GDT and medical treatment of complication, such as: anastomosis leakage, mechanical ileus, inter-peritoneal abscess. Anastomotic stenosis was not observed in this group of patients.