A COMPARATIVE STUDY OF ASSOCIATION OF BURST ABDOMEN IN CASES OF CONTINUOUS –VERSUS- INTERRUPTED X TYPE TO ABDOMINAL CLOSURE

Dr. Udit Patel, DR. Saurabh Kumar, Dr.S. P. Sinha

Abstract


INTRODUCTION:

Wound dehiscence is related to the technique of closure of abdomen and the suture used.1 Numerous studies have been conducted evaluating a bewildering variety of closure techniques and suture materials.

In this study  interrupted x type of  sutures for mass closure of midline laparotomy wound will be applied in the patients posted for emergency laparotomy and incidence of burst abdomen will be studied

 

MATERIALS and METHODS:

A total of 100 patients presenting to the Surgery Department for laparotomy were enrolled in this study. The study was conducted in Department of Surgery, TMU MC between December 2014 and September 2016. The study was approved by Departmental Research Committee and Institutional Ethics Committee of our institute.

 

RESULTS:

 100 patients were enrolled for study comparing continuous and interrupted closure of midline laparotomy wound in patients posted for laparotomy for emergency conditions. Out of these 52 were randomized to undergo continuous closure and 48 into interrupted x-type closure group.

Out of total of 100 patients incorporated in this of study 69 male and 31 female. In continuous arm out of 52 patients 36 were male and 16 were female. In interrupted arm out of 48 patients 33 were male and 15 were female.

Out of total 100 patients included in the study 15 patients developed burst abdomen (15%). Out of 52 patients randomized to continuous group 12 developed burst abdomen and out of 48 patients randomized to interrupted x group only 3 developed burst abdomen. Relative risk of burst abdomen taking continuous suture as control group was 0.268 and was statistically significant (p=0.038).

 

CONCLUSION:

 At the end of the study it was concluded that patients posted for laparotomy for emergency conditions having multiple risk factors detrimental to wound healing fared better with interrupted x-type fascial closure and developed less no. of burst abdomen. Thus this technique can significantly reduce burst abdomen in patients undergoing emergency midline laparotomy.

Keywords


dehiscence,laparotomy,commonly influenced

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References


Beck, C. T. (1998). The effects of postpartum depression on child development: a meta-analysis. Archives of

Psychiatric Nursing, 12, 12-20.

Al Dhallal FH, Grant IN. Postnatal depression among Bahraini women: prevalence of symptoms and psychosocial risk factors. Eastern Mediterranean Health J. 2012;18(5) 432-8.

Ahmed M,Butt MS,Umar B,Arshad H,Iftikhar N,Maqsood U.Prevalence of postpartum depression in an urban setting Biomedical Research 2015; 26 (4): 765-770 ISSN 0970-938Xwww.biomedres.info


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