COMPARISON OF CONTINUOUS VERSUS INTERRUPTED X-SUTURING TECHNIQUE FOR ABDOMINAL WALL CLOSURE IN EMERGENCY MIDLINE LAPAROTOMY WOUND
Objective: To compare the effectiveness of continuous versus interrupted X-suturing for abdominal wall closure in patients presented with emergency midline laparotomy wound.
Methodology: A comparative clinical trial was conducted over a period of one year in Surgical D Unit, Lady Reading Hospital, Peshawar. Sample size was 100 (50 in each group). Patients in group A were subjected to continuous suturing repair while patients in group B underwent interrupted X-suturing technique. Patients from both groups were observed for 6-7 days. In post-operative period frequency of burst abdomen was assessed by consultant surgeons. Statistical analysis of the recorded data was done using SPSS version 20.
Results: Male to female distribution in group A was 41 (82%) and 9 (18%) respectively while in group B it was 42 (84%) and 8 (16%) respectively. Overall 42 (84%) patients in group A experienced no burst abdomen as compared to 48 (96%) patients in group B within 1 week post-operatively (p=0.0455).
Conclusion: Interrupted X-suturing technique for midline laparotomy closure in emergency cases was better than continuous closure technique because it was associated with less frequency of burst abdomen within first 1-2 weeks post-operatively.
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