A Comparative Study On Outcome Of Midline Laparotomy Wound Closure

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dc.contributor.authorVyas, Pratik H.en_US
dc.contributor.authorPandya, Jay kumar Ben_US
dc.contributor.authorNarola, Shruja D.en_US
dc.date.accessioned2020-01-02T06:22:27Z
dc.date.available2020-01-02T06:22:27Z
dc.date.issued2018-07
dc.description.abstractBackground ,Abdominal wound dehiscence is a common complication of emergency laparotomy in Indian setup.Factors as relates to burst abdomen and they recommended certain surgical measures. These measures included control of nausea and vomiting, decompression of distended abdomen, choice of appropriate sutures, control ofinfection and use abdominal drains.Wound dehiscence is related to the technique of closure of abdomen and the suture used. it is interned to study the closure of abdomen with non-absorbable (Polypropylene, Nylon) versus delayed-absorbable (Polydiaxanone)in cases operated at V.S. Hospital , Ahmedabad with respect to the effectiveness of these different suture materials in our setup.METHODS AND MATERIALS:The present clinical Prospective comparative study was carried out at the surgery department of V.S. hospital from June2014 to Jan 2017. Patients underwent both elective and emergency laparotomy through midline vertical incisions. First 50 cases of midline laparotomy closure were studied with these three suture materials; Polydiaxanone (PDS), Nylon and Polypropylene (PPL) with/without retention suture. The patients were followed regularly after surgery up to 6 months.RESULT:Wound infection is the most important single factor in the development of burst abdomen and incisional hernia.61The incidence of wound infection was in Polypropylene (Prolene)(12.5%), in Polydiaxanone (PDS) (20%) and in Loop Nylon(12.5%) .The incidence of wound infection was related to type of surgery . As in over study infections were higher in emergency surgery then planned surgery, it was 10% in PDS group,12.5% in PPL group and 12.5% in loop nylon group. And in planned surgery only one case had wound infection, which was in nylon group.CONCLUSION:continuous suture technique using no.1 loop Polydiaxanone(PDS) had comparatively higher incidence of wound infection, and also report a case of burst abdomen, but had low incidence of scar pain for closure of midline laparotomy incision, No.1 Polypropylene had high incidence of stitch granuloma and Loop nylon no.1 had a low incidence of infection and stitch granuloma but high incidence of scar pain.. Burst abdomen had high incidence in high risk patient irrespective of suture material used, however this incidence can be reduced by prophylactic retention suturingen_US
dc.identifier.affiliationsAssistant Professor, Department of General Surgery, Vadilal Sarabhai General Hospital, AhmedabadPin 380006 ,Gujaraten_US
dc.identifier.affiliationsSecond Year Resident, Department of General Surgery, Vadilal Sarabhai General Hospital, AhmedabadPin 380006 ,Gujaraten_US
dc.identifier.affiliationsSecond Year Resident, Department of General Surgery, Vadilal Sarabhai General Hospital, Ahmedabad Pin 380006 ,Gujaraten_US
dc.identifier.citationVyas Pratik H., Pandya Jay kumar B, Narola Shruja D.. A Comparative Study On Outcome Of Midline Laparotomy Wound Closure. Society Of Medical Sciences. 2018 Jul; 21(31): 1-8en_US
dc.identifier.issn0975-8917
dc.identifier.issn2249-7935
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/189941
dc.languageenen_US
dc.publisherSociety Of Medical Sciencesen_US
dc.relation.issuenumber31en_US
dc.relation.volume31en_US
dc.titleA Comparative Study On Outcome Of Midline Laparotomy Wound Closureen_US
dc.typeJournal Articleen_US
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