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Volume 4 Issue 3 (May - June, 2016)

Original Articles

Clinical Profile of Patients Undergoing Mass Closure and Layered Closure Techniques in Laparotomies
Sanjeev Suri

Introduction:One acquires the skill of surgery from their superior and tends to employ the same suture materials as them. Therefore, the utilization of suture material has not consistently been based on scientific principles. Thus we conduct this study to assess the Clinical Profile of Patients Undergoing Mass Closure and Layered Closure Techniques in Laparotomies. Materials and Methods:The study design is a single-center prospective study.All the patients had standardized blood and urine tests. X-Ray, Ultra-Sound examinations, and other tests are conducted as necessary. The surgeries included both regular and urgent procedures. The study does not include incisions that are not made along the midline. The surgical technique is performed by all the surgeons in the surgery department. Abdominal wall closure is done with continuous non-absorbable No.1/0 ProleneĀ® sutures. Results:In this study, a midline incision was performed on 48 patients, which accounted for 65% of the total. A right paramedian incision was done on 24 patients, representing 30% of the total, while a left paramedian incision was performed on 9 patients, accounting for 5%. The average time taken for the closure of the incision in the mass closure group was 16.71 minutes, with a standard deviation of 2.80. The average time taken in the multilayer closure group was 26.01 minutes, with a standard deviation of 2.81. The p value is less than 0.000, indicating statistical significance. Conclusion:The current research contributes to determining the most effective technique for closing wounds in the anterior abdominal wall. It clearly demonstrates that using a nonabsorbable, continuous suture for closing the abdominal wall with a single layer has the fewest issues and has been shown effective over a long period of time.

 
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