A Comparative Study Between Continous & Interrupted XSuture In Emergency Midline Wound Closure
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 4
Abstract
Wound dehiscence or burst abdomen is a very serious post operative complication, associated with high morbidity & mortality. It has significant impact on the healthcare cost. While it is recorded to be 1–3% in most centres, whereas some centres in India recorded incidence of burst abdomen as high as 10–30 %. Among the cases operated in our study, cases of perforative peritonitis constituted 63.1%. Most cases follow emergency laparotomy for peritonitis. Among the total 90 patients who were closed with continuous suture, 9 patients developed burst abdomen. 9 out of the 10 patients of burst abdomen had post operative abdominal distention, signifying high probability of relationship. We came to a conclusion that Interrupted X suture is a better option than continuous suture in emergency cases of midline laparotomies, particularly in patients of hypoprotenemia. Presence of peritonitis found intra operatively, discharge from wound post operatively increases the chances of burst abdomen. Abdominal distension & cough in the post operative period promotes wound disruption. Presence of sepsis, jaundice, anaemia, controlled diabetes, uremia, malignancy, steroid intake & occurrence of hypoxia during operation could not establish any definite relationship with occurrence of burst abdomen.
Authors and Affiliations
Nisith Ranjan Mallik, Abhishek Roy Barman, Ashis Kumar Saha, Chhanda Das
Keywords
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- EP ID EP373321
- DOI 10.9790/0853-1704124650.
- Views 77
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