A comparative study for the risk of burst abdomen with continuous versus interrupted x-suturing in emergency laparotomy wound. | [Isra Medical Journal • 2014]

Author(s):

1. Ihtasham Muhammad Ch: Department of Surgery, Al-Nafees Medical College & Hospital, Isra University, Islamabad Campus, Islamabad, Pakistan

2. Omar Shahzad Altaf: Department of Surgery, Al-Nafees Medical College & Hospital, Isra University, Islamabad Campus, Islamabad, Pakistan

3. Salman Ahmed Tipu: Department of Surgery, Al-Nafees Medical College & Hospital, Isra University, Islamabad Campus, Islamabad, Pakistan

4. Haroonur-Rashid: RMC and Allied Hospitals Rawalpindi, Pakistan

5. Yasir Masood Kiani: Department of Surgery, Al-Nafees Medical College & Hospital, Isra University, Islamabad Campus, Islamabad, Pakistan

6. Mumtaz Akhtar: Department of Surgery, Al-Nafees Medical College & Hospital, Isra University, Islamabad Campus, Islamabad, Pakistan

Abstract:

OBJECTIVES: To compare the risk of burst abdomen in emergency laparotomy for acute abdomen in abdominal wound closure by interruptedX technique versus traditional continuous closure. STUDY DESIGN: A Quasi experimental study. PLACE AND DURATION OF STUDY: At Surgical Unit II of Rawalpindi General Hospital, Rawalpindi during the period of 1 year from 1st June to 30th May 2008 METHODOLOGY: 80 patients who were operated for acute abdomen were divided into two treatment groups (Group A B) with 40 patients in each group without gender discrimination. Convenience non probability sampling was used and patients included in 2 groups on alternate basis. In group A patients after laparotomy the abdominal wound was closed with continuous suturing technique by polypropylene No 1. In group B patients after laparotomy the abdominal wound was closed with interrupted X technique by polypropylene No 1. RESULTS: Age ranged from 18 to 60 years with peak age group between 19 to 40 years. 56 patients (67.5 %) were male and 24 patients (32.5 %) were female. Burst abdomen occurred in 4 (10%) patients of group A, and 1 patient (2.5%) in group B (p=.359). CONCLUSION: Statistically there is no difference in the risk of burst abdomen after closure of midline laparotomy wound in cases operated in emergency for acute abdomen by using interrupted X technique of closure as compare to continuous closure.

Page(s): 203-207

DOI: DOI not available

Published: Journal: Isra Medical Journal, Volume: 6, Issue: 3, Year: 2014

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