Efficacy of single layered intestinal anastomosis over double layered intestinal anastomosis- an open Labeled, randomized controlled trial.

•Hand-sewn bowel anastomoses can be done either in two layers or one layer.•Single layer anastomosis is shown to be time & cost-effective.•This was a randomised controlled trial with single layer anastomoses as the intervention and double layer as the control.•Incidence of anastomotic leak and other complications were equal across both groups.•Single layer anastomosis can be safely performed instead of double layer anastomosis.