RECTUS SHEATH CLOSURE TECHNIQUES IN EXPLORATORY LAPAROTOMY : CONTINUOUS VERSUS INTERRUPTED SUTURING: A PROSPECTIVE STUDY
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Keywords
Interrupted suturing; Continuous suturing; Rectus sheath closure; Exploratory laparotomy; Wound dehiscence; Burst abdomen
Abstract
Background: One major surgical operation is exploratory laparotomy. The most popular method for opening the abdomen is midline laparotomy because it is easy to do, offers sufficient exposure to all four quadrants, and allows for rapid exposure with little blood loss. Numerous techniques have been used to close laparotomy wounds, including absorbable versus non-absorbable sutures, single layer versus mass closure, and continuous versus interrupted closure.Aims and Objectives: The aim of the study was to find out the technique of rectus sheath closure in patients undergoing exploratory laparotomy that can reduce the burden of complications in post-operative period. Materials and Methods: It is a hospital-based prospective randomized observational study which was conducted in a tertiary care hospital and medical college with a time frame of about years. A total number of 74 patients of adult age group (01–70 yrs) admitted in general surgery ward of (medical college name add)undergoing exploratory laparotomy. Results: 30 (50%) patients of midline laparotomy were closed in continuous technique. Rest 30 (50%) patients were closed in interrupted technique. The hospital stay was similar in both groups. There was no significant difference in incidence of wound infection. Wound dehiscence and requirement of burst abdomen repair was significantly higher in continuous suture group as compared to interrupted suture group, but mean closure time and mean suture length. were significantly higher in interrupted suture group. Conclusion
Wound dehiscence is the main side effect of emergency laparotomy, increasing morbidity and future hospital expenses and the need for a second abdominal burst operation. According to our research, the interrupted suturing technique for abdominal closure is superior in terms of major post-operative problems, even though longer and longer sutures are needed.
References
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Dr. Ansuman Pradhan
Assistant Professor, Department of Surgery, SJ MCH, Puri
Dr. Nilamadhaba Prusty
Associate Professor, Department of ENT, FM MCH, Balasore
Dr. Dillip Kumar Chand
Assistant Professor, Department of Orthopaedics, SJ MCH, Puri
Dr. Siddharth Panditray4
Assistant Professor, Department of Head and Neck Surgery, AHPGIC, Cuttack