Vol - 29, Issue - 01
About the Journal
[This article belongs to Volume - 29, Issue - 01]
International Medical Journal
Journal ID : IMJ-31-12-2021-1122
Total View : 465

Abstract : For many years, opening and closing the wall of the abdomen has been a practice of surgical training. Study was a randomized non-blinded clinical trial done within 18 monthsat Department of General Surgery, Dr. DY Patil Medical College, Pimpri, Pune All patients were operated under general anesthesia. In all cases, incisions were extended below the level of the arcuate line. Skin closed with non absorbable material with interrupted mattress sutures. Abdominal drains were kept wherever found necessary using a separate stab incision. Suture material used in study was In mass closure-the abdomen closed using the single layer closure technique with all layers of the abdominal wall sutured in a single layer with POLYPROPYLENE No. 1 curved cutting needle. Continuous suturing and burial of the knots and interrupted mass closure was done in these patients. In layered closure-In this group, the abdomen was closed in layers using a continuous layer of POLYGLACTIN No. 2-0 for peritoneum and posterior rectus sheath and POLYPROPYLENE No. 1 loop suture for anterior rectus sheath. Mean incision closure time was 15.5 ± 2.8 minutes in the mass closure group as compared to 23.4 ± 2.7 minutes in the layered closure technique (p value < 0.001). With lower postoperative mean pain and incidence of burst abdomen in mass closure as compared to the layered closure group. Wound infection rate was similar in the two study groups.

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