Evaluation of the advantages of single layer closure over en-masse closure in abdominal surgeries

Abstract

Background: Many of the operations performed by the general surgeons take place within the abdomen and consequently incision and suturing of the abdominal layers are the commonest exercises in operative surgery. Abdominal closure is very important as regards to incision, technique of repair and use of newer suture material, and has created a great interest to surgeons. Aim: Evaluated the advantages of mass (single layered )closure in comparison with the layered closurein abdominal surgeries. Subjects and Methods: 60 patients selected 30 are randomized to have mass closure technique and remaining by layered closure technique and grouped as 1 and 2 respectively. These patients are compared based on Operative time, infection, Burst Abdomen and followed on post op. day 1, day 3 , day 7, day 10 respectively and followed up monthly for 3 months and then after 6 months. Results: The incidence of wound infection is higher in layered closure group (group 2) compared to mass closure group (group 1). Overall the rate of wound infection in the layered group is 36.66% whereas it is 13.33% in the mass closure group. Conclusion: Hence the use of mass closure is significantly better (p value <0.05) then layered closure technique in so far as the wound infection is concerned.