Intestinal anastomosis is a surgical procedure
performed to establish communication between
two formerly distant portions of the intestine.
This procedure restores intestinal continuity after
removal of a pathologic condition affecting the
bowel. Intestinal anastomosis has been effectively
performed for more than 150 years using a
assortment of techniques, materials and devices.
This study included 50 patients, Out of them, 24
underwent hand sewn anastomosis, 26 underwent
stapler technique. This study was conducted in the
Department of General Surgery, Shri M.P. Shah Govt.
medical college and Guru Gobind Singh Government
Hospital, Jamnagar. In terms of mortality, 3
patients(12.5%) of handsewn anastomosis were
expired and 3 patients(11.5%) of stapler anastomosis
were expired. Rest all were discharged. In this
study we found that stapler technique is quicker to
perform, so duration of surgeries was less than that
in the handsewn technique. We can say that stapler
can be used in patients with poor general condition
and in emergency surgeries. Low complication rate
and lesser hospital stay makes the stapler patient
friendly. However, the only limiting factor for
stapler is its cost. Availability of cheaper stapler with
reusable gun will make stapler more patient friendly.
A day may come when as far as bowel anastomosis is
concerned, people may not remember or require the
art of suturing!

Keywords: Intestinal anastomosis; Stapler
technique; Hand sewn technique, Emergency GI
anastomosis