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VOL. 6, ISSUE 2 (2020)
A comparison between mass closure and layered closure in laparotomy wounds
Authors
Dr. Payal Chhabra, Dr. Mukesh Maheswari, Dr. Dhanesh Kumar
Abstract
Background: The ideal method of abdominal wound closure remains to be discovered. The best abdominal closure technique should be fast, easy, and cost effective while preventing both early and late complications. Present study was undertaken to compare the two methods (Mass closure and Layered closure) of laparotomy wound closure in relation to post-operative complications and time for wound closure. Materials and Methods: A prospective observational study was conducted among 80 subjects in Subharti Medical College Meerut for abdominal surgical problems needing either elective or emergency surgery. Out of these 80 patients, 40 were randomized to have the abdominal wall closed by single layer closure technique and remaining 40 were by conventional layered closure and they were grouped as Group 1 and Group 2 respectively. The wound was examined on 3rd, 5th, 7th and 9th or 10th day and the condition of the wound noted. Complications like seroma, surgical site infections, post-operative pain, burst abdomen, hernia and wound gaping were recorded. Results: The mean time taken for closure of wounds, by single layer closure technique was 19.05min and by conventional layered closure technique was 28.08min. Wound infection was found in 20% and 37.5% of the subjects in the single layer and conventional layer group respectively with statistically insignificant difference. Conclusion: From the results of present study, it can be said that mass (single) closure technique is better than the conventional layered closure of laparotomy wounds in terms of operative time and postoperative complications.
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Pages:08-11
How to cite this article:
Dr. Payal Chhabra, Dr. Mukesh Maheswari, Dr. Dhanesh Kumar "A comparison between mass closure and layered closure in laparotomy wounds". International Journal of Medical and Health Research, Vol 6, Issue 2, 2020, Pages 08-11
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