TENSION SUTURES IN CLOSURE OF MIDLINE LAPAROTOMY-AVOIDANCE OF WOUND DEHISCENCE
Keywords:
Abdominal wall, Single layer closure (SLC), Tension suture closure (TSC), Wound dehiscence (WD)Abstract
Objective: To compare closure of abdominal wall in midline laparotomy with tension sutures closure (TSC) along with single layer en mass closure (SLC) versus single layer closure (SLC) alone in terms of frequency of wound dehiscence.
Study Design: Randomized control trial.
Place and Duration of Study: Department of Surgery Combined Military Hospital Peshawar, from 12 Nov 2013 to 21 Sep 2015.
Material and Methods: Group A and group B had 150 patients each. Group A was subjected to tension suture closure in addition to single layer en mass closure while group B was subjected to single layer en mass closure alone. Postoperative wound dehiscence (WD) was evaluated on 10th post-operative day (POD). A p-value ≤0.05 was considered statistically significant.
Results: Postoperative wound dehiscence was comparatively less in Group A (6%) as compared to Group B (12.6%) which was statistically significant (p-value 0.047).
Conclusion: Tension suture closure with single layer closure is superior to single layer en mass closure alone in terms of frequency of post-operative wound dehiscence.
