Comparison of outcome of interrupted versus continuous closure technique of rectus sheath in emergency laparotomies patients in terms of wound dehiscence.

  • Kaleem Ullah Pir Abdul Qadir Shah Institute of Medical Sciences, Gambat.
  • Shams Uddin Pir Abdul Qadir Shah Institute of Medical sciences, Gambat.
  • Azam Shoib Pir Abdul Qadir Shah Institute of Medical Sciences, Gambat.
  • Muhmmad Danish Yaseen Khyber Teaching Hospital, MTI, Peshawar
Keywords: Continuous Closure, Dehiscence and Laparotomy, Interrupted Closure

Abstract

Objective: To compare outcome of interrupted versus continuous closure of rectus sheath in emergency laparotomy patients, in terms of wound dehiscence. Study Design: Randomized Controlled Trail. Setting: Department of Casualty Surgical Pir Abdul Qadir Shah Institute of Medical Sciences, Gambat. Period: 1st January to 30th June 2020. Material & Methods: Total duration of study was 6 months. Total of 150 patients (75 in each group) were studied. Interrupted closure of rectus sheath was done in group “A” patients while continuous closure was done in group “B” patients, and efficacy in terms of wound dehiscence was compared in both groups. Results: Overall male to female ratio was1.29:1. The average age of the patients was 39.41 years +13.02SD.   Wound dehiscence in Group “A” was found in 2.6% cases while 6.6% in Group “B” patients. Conclusion: Interrupted closure of Rectus sheath in emergency laparotomy is more effective than continuous closure in preventing wound dehiscence.

Author Biographies

Kaleem Ullah, Pir Abdul Qadir Shah Institute of Medical Sciences, Gambat.

MBBS, MRCPS (Glasgow), FCPS (General Surgery)

Clinical fellow Liver Transplant and General Surgery

Shams Uddin, Pir Abdul Qadir Shah Institute of Medical sciences, Gambat.

MBBS, FCPS (General Surgery)

Senior Consultant Liver Transplant and General Surgery

Azam Shoib, Pir Abdul Qadir Shah Institute of Medical Sciences, Gambat.

MBBS, FCPS (General Surgery)

Assistant Consultant Liver Transplant and General Surgery

Muhmmad Danish Yaseen, Khyber Teaching Hospital, MTI, Peshawar

MBBS

Resident General Surgery Unit A,

.

Published
2021-04-10