Anastomosis of small bowel is done by:
Bowel Anastomosis Good surgical technique is more impoant than the choice of suture material: Gentle handling of the bowel Adequate hemostasis Meticulous approximation of well-vascularized bowel Tension-free anastomosis Two-layer Anastomosis One-layer Anastomosis Inner layer is an absorbable 3-0 or 4-0 running full-thickness stitch Outerlayer is an inveing, usually 3-0, seromuscular stitch, which may be running or interrupted nonabsorbable A full thickness technique, interrupted or running with non-absorbable suture Ref: Shackelford 7th edition Pgno: 920-928
Suture in 1 layer by non-absorbable suture
Suture in 2 layers by non-absorbable suture
Suture in 2 layers by absorbable sutures
Suture in layers by absorbable suture
G.I.T