Comparison of Recovery in Single Layer Vs Double Layer Closure Technique in Patients Undergoing Ileostomy Reversal

Objective: To evaluate the outcomes of recovery based on single-layer versus double-layer suture closure techniques in patients who have undergone ileostomy reversal. Methods: After the ethical approval from the institutional review board, this comparative observational study was conducted at Nishtar Hospital Multan, from 1st September 2023 to 1st March 2024. Through non-probability consecutive sampling, 50 patients above age 18 years, both genders, Patients with ASA class I-III, Patients who are undergoing a temporary ileostomy for any clinical indication, such as colorectal cancer, inflammatory bowel disease, or trauma, and are now candidates for ileostomy reversal were included in the present study. Patients were randomly divided into two groups; Group A single layer suture (n=25) and Group B- double layer suture (n=25). Results: In the present study, the most common type of anastomosis is entero-enteric, and the least was colo-rectal. The mean duration of was significantly greater in group B as compared to group A (19.6±1.9 vs. 30.0±1.8, p<0.0001). Most common complication was wound infection in both study groups. The mean duration of the participants in the hospital is almost similar between the groups (8.4±1.4 and 8.7±0.8; p=0.284). Conclusion: Hence, based on our findings, the single-layer approach while conducting the ileostomy reversal can be beneficial and indeed result in a reduction in time, without any difference in complications. Additionally, it is also easier to train surgical residents in the single-layer techniques, as opposed to the double-layered technique, especially in a teaching institute setting. We recommend the usage of the single-layer method while conducting the ileostomy reversal based on this study.