Comparative study between mass closure suturing technique and Hughes repair in emergency midline laparotomies
DOI:
https://doi.org/10.3126/ajms.v14i10.54224Keywords:
Hughes repair; Abdominal closure; Laparotomy; Conventional continuous technique; Mass closure suturingAbstract
Background: The most alarming post-operative consequences for patients and doctors are wound infection and dehiscence. Post-operative wound infection and dehiscence lengthen the hospital stay after surgery.
Aims and Objectives: The present study examined the incidence of wound infection, wound dehiscence, duration of hospital stay, and burst abdomen between conventional and Hughes repair techniques of midline laparotomy wound closure.
Materials and Methods: A 12-month prospective study was performed in the General Surgery Department at Government Rajaji Hospital in Madurai. In total, 80 patients, divided randomly into two groups of 40 each, received emergency midline laparotomies for various reasons. The primary outcome measures the infection incidence, wound dehiscence, and burst abdomen at the end of 10 days by the assessing surgeon.
Results: In the study group, 30 (75%) were males, and females were 10 (25%). In the control group, males were 29 (72.5%), and females were 11 (27.5%). The mean age in the study and control groups was 42.4±11.927 and 41.7±13.607, respectively. There was a significant difference in surgery duration between groups. Most patients, i.e., 27 (67.5%) and 19 (47.5%), had wound infection and dehiscence in the control group, respectively. There was a significant difference in wound infection (P=0.025), wound dehiscence (P=0.002), duration of hospital stay (P<0.001), and burst abdomen (P=0.02) between groups.
Conclusion: Hughes repair is associated with less incidence of wound infection, wound dehiscence, burst abdomen, and duration of hospital stay compared to patients whose abdomen was closed using the conventional continuous technique.
Downloads
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Asian Journal of Medical Sciences
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with this journal agree to the following terms:
- The journal holds copyright and publishes the work under a Creative Commons CC-BY-NC license that permits use, distribution and reprduction in any medium, provided the original work is properly cited and is not used for commercial purposes. The journal should be recognised as the original publisher of this work.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
