Title: Evaluation of various closure techniques after laparotomy
Authors: Dr Vinod Yedalwar, Dr Atul Kumar Singh, Dr Surjeet Singh Dhakare, Dr Subhash Kumar Agrawal
DOI: https://dx.doi.org/10.18535/jmscr/v6i4.95
Abstract
Introduction: Every operation requires one of closure techniques to close the wound for subsequent successful healing, proper closing of wound influence the success of surgery. Many complications such as infection, wound dehiscence and burst abdomen occur in wound closure. Laparotomy is a surgical procedure involving a large incision through the abdominal wall to gain access in to the abdominal cavity and subsequent closure of abdominal wall after dealing the pathology. Proper closure of wound influences the success of surgery by healing.
Study Design: A prospective type of study.
Material and Method: Study was carried out in 360 patients, who were admitted for acute abdominal conditions in surgical wards and underwent emergency laparotomy for various indications. All the laparotomies were done by midline longitudinal incision under General Anesthesia and after dealing with the pathology, closure of the wound were done in two layers - peritoneum and linea alba in one layer and skin subcutaneous tissue in other layer and drains were placed. Peritoneum and linea Alba were closed by two technique-continuous and interrupted suturing. Two types of sutures were used vicryl and prolene, and results were analyzed.
Results and Conclusion: Complication rate was more in continuous vicryl (25.71 %) than in interrupted prolene technique (25 %).In interrupted vicryl technique complication rate was 23.07%. Infection rate was less in interrupted prolene group 16.66% as compared to that in continuous group.
Keywords: Laprotomy, Wound Closure, Vicryl, Prolene.
