{'fraction_non_alphanumeric': 0.03671875, 'fraction_numerical': 0.025, 'mean_word_length': 5.0424528301886795, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Reports of Societies

SINGLE LAYER GASTRO-INTESTINAL ANASTOMOSIS IN CHILDREN AND NEONATES. Under the care of one consultant paediatric surgeon, 89 patients aged between 0 days and 14 years underwent surgery requiring the construction of one or more anastomoses in the digestive tract. A total of 109 anastomoses were fashioned in the study group. Single layer anastomosis was performed in 100 (91.7%) of these and was of appositional sero-submucosal type in 60 (55%), being substituted by an all coats technique in colo-anal and oesophageal sites. The remaining 9 (8.2%) anastomoses were of two layer construction; all 9 being performed in duodenum. Suture materials were selected for a combination of absorptive properties and handling characteristics. Nurolon (braided polyamide, Ethicon) was the usual choice for sero-submucosal anastomosis, whilst Vicryl was selected for colo-anal anastomosis. Outcome was assessed in terms of morbidity and mortality. There were 4 (4.5% of patients) wound infections, 3 (3.4%) anastomotic leaks and 2 (2.25%) deaths, both of these occurring at a time remote from surgery and being attributed to concomitant congenital anomaly. Based on this survey single layer anastomosis is a safe technique and has wide applications in paediatric surgery.