A randomized prospective clinical trial of single-layer and two-layer inverting intestinal anastomoses

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Abstract
Most surgeons recommend an inverting technique for anastomosis of the intestine using two layers of sutures, but it has been suggested that greater safety would be achieved by using an inverting method which involves only a single layer of sutures. Single-layer inverting and standard two-layer inverting intestinal anastomoses were compared in a randomized prospective clinical study of 60 patients. A similar incidence of anastomotic dehiscence and obstructive complications occurred after both types of anastomosis and it was concluded that single-layer methods of anastomosis do not possess qualities which surpass the standard two-layer method.