In the management of serosal bowel injuries, what is the preferred method of repair?

In the management of serosal bowel injuries, the preferred method of repair is a single layer repair. This approach allows for effective closure of the injury while minimizing the risk of bowel obstruction or stricture formation. A single layer repair typically involves suturing the serosal layer of the bowel, which is sufficient for small injuries, as the underlying muscularis layer remains intact.

This method is generally favored because it provides a reliable seal, preserves bowel function, and reduces the complication rates associated with thicker repairs. Additionally, a single-layer repair tends to be less time-consuming, which can be particularly beneficial in acute surgical situations.

While other methods, such as double layer repair, may be used in certain contexts, they are not typically necessary for serosal injuries alone, where the muscular layer is unharmed. Double-layer repairs can increase tissue manipulation and the risk of complications without adding significant benefits for simple serosal defects. Similarly, methods like intermittent sutures with gauze are not commonly utilized for primary repair of serosal injuries, as they may complicate the repair process and are not a standard practice for such injuries.