MULTILAYERED CLOSURE TECHNIQUE VS SINGLE LAYERED CLOSURE FOR ABDOMINAL INCISIONS

Dr. Meghana Chigurupati, Dr. V. Tata Rao M. S.

Abstract


Objective:

To compare the techniques of single layered mass closure vs multilayered closure with regard to operative time vs post-operative complications.

Methods:

A study was done on 100 cases undergoing major abdominal surgery in NRI GENERAL HOSPITAL, CHINNAKAKANI, both emergency or elective surgeries. Amongst these 100 patients, 50 patients underwent closure by conventional layered closure and 50 patients by single layered closure. Time taken for closure of wound were noted and patients were followed post operatively for wound complications like seroma, wound infection, gaping and burst abdomen. Incisional hernia if any was noted.

Results:

The mean time taken for closure of incision by single layered closure was 19 minutes and by conventional layered closure was 27 minutes. There was a difference of 8 minutes which was statistically significant (p value 0.001). in the post operative period in patients who underwent single layered closure 18% had post operative complications. In multilayered closure 30% developed complications.

Conclusions:

Laparotomy wound closure with single layer closure technique is

better than the conventional layered closure technique in terms of

decreased operative time and also decreased postoperative complications.


Keywords


ABDOMINAL INCISIONS, wound infection, Laparotomy

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