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Volume 4 Issue 3 (May - June, 2016)

Original Articles

Assessment of Effect of Stitch Length in Postoperative Wound Infection- A Clinical Study
Manjush Kumar Srivastava, Ashwani Kumar Pandey

Background: There are different types of incisions. Midline incision is also known as laparotomy incision. The present study was conducted to determine the effect of stitch length on wound complication.  Materials & Methods: The present study was conducted on 40 patients who were admitted in the department for surgery. In all patients, midline incion was given. Patients were divided into 2 groups based on size of stitch length. They were either in small stitch length or in large stitch length group. In cases of small stitch length, stitches were placed 5- 8mm away from wound edge and in cases of large stitch length, stitches were placed 10 mm away from wound edge. In groups, complication such as surgical site infection (SSI), seroma, incisional hernia and wound dehiscence was recorded.
Results: Age group 20-3 0 years had 2 patients in group I and 8 in group II, 30-40 years had 5 in group I and 2 in group II, 40-50 years had 8 in group I and 3 in group II and >50 years had 5 in group I and 7 in group II. The difference was significant (P< 0.05). Group I had SSI in 5%, seroma in 2%, incisional hernia in 4.6% and wound dehiscence in 2% cases and in group II, SSI in 12%, seroma in 4%, incisional hernia in 6.9% and wound dehiscence in 5% cases. The difference was significant (P< 0.05). Conclusion: Stitch length of smaller size may be useful in reducing complications. Wound infection is frequently encountered complication. Among all, SSI and wound dehiscence is common one.
Key words: Incisional hernia Stitch length, Wound

Corresponding Author: Dr. Ashwani Kumar Pandey, Associate Professor, Department of Surgery, Mayo Institute of Medical Sciences Barabanki, U.P., India

This article may be cited as: Srivastava MK, Pandey AK. Assessment of Effect of Stitch Length in Postoperative Wound Infection- A Clinical Study. J Adv Med Dent Scie Res 2016;4(3):138-140.

 
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