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Volume 7 Issue 9 (September, 2019)

Original Articles

Absorbable versus non- absorbable sutures in closure of laparotomy incisions
Bhupendra Prasad

Background: Wound dehiscence is a multifactorial problem, conditioned by local and systemic, as well as pre-, per-, and postoperative factors. The present study was conducted to compare absorbable with non- absorbable sutures in closure of laparotomy incisions. Materials & Methods: 68 patients of laparotomy of both genders were divided into 2 groups. In group I patients, fascia were closed with Prolene and in group II fascia were closed with Vicryl. Parameters were compared in both groups. Results: Group I comprised of 20 males and 14 females and group II had 18 males and 16 females. Diagnosis was intestinal perforation seen in 10 in group I and 8 in group II, intestinal obstruction 2 in group I and 6 in group II, hemoperitoneum 8 in group I and 10 in group II, blunt trauma abdomen 7 in group I and 5 in group II, gut gangrene 4 in group I and 3 in group II, mass abdomen 3 in group I and 2 in group II. The difference was significant (P< 0.05). Procedure was elective 20 in group I and 19 in group II and emergency 14 in group I and 15 in group II. Wound dehiscence was seen in 6 in group I and 12 in group II. The difference was significant (P< 0.05). Conclusion: Prolene has better outcome and less wound dehiscence in contrast to absorbable Vicryl suture.

 
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