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Category: Volume 07 Issue 10 October 2019
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Title: A comparative study of the outcome of Mass Closure and Layered closure techniques for Midline Abdominal Incisions in a Teaching Hospital

Authors: Dr CH. Maruthi, Dr Arun Katari

 DOI: https://dx.doi.org/10.18535/jmscr/v7i10.44

Abstract

  

The abdomen is the frequent site of operations in General Surgery, consequently incision and suturing of the abdominal wall is a very important aspect of surgery. Conventionally the midline incision of laparotomy wound is closed in various layers anatomically. However, a newer method called the Mass closure technique is increasingly being utilized for its advantages. We in the present study tried to evaluate the outcomes of midline abdominal surgeries using mass closures and layered closure techniques. Methods: This prospective study was carried out in the Department of General Surgery, Prathima Institute of Medical Sciences, Nagunoor, Karimnagar. A total of 55 patients were identified during the study period and they were divided into two groups. Group I patients who were sutured with Mass closure technique and Group II patients who had their midline incision closed with conventional layered technique. Results: The most common complication in the group I was found to be a superficial infection in n=2(8%) of patients. The other complications were seroma, burst abdomen (wound dehiscence), suture sinus formation in n=1 (4%) cases each. In group II layered closure wound infection was found in n=2 cases, both were superficial infections which were managed adequately. Burst abdomen and seroma were also found in n=2(6.67%), hematoma, and the incisional hernia was seen in n=1 (3.33%) cases each. Conclusion: Within the limitations of the present study it can be concluded that the mass closure technique appears to be the better choice for midline laparotomy wound closure as compared to the conventional layered technique since it requires a shorter time, with minimal complications and cost-effective.

Keywords: midline abdominal incisions, Mass closure, Layered closure.

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Corresponding Author

Dr Arun Katari

Associate Professor, Department of General Surgery, Prathima Institute of Medical Sciences, Naganoor, Karimnagar , 505001 Telangana State, India