COMPARATIVE EVALUATION AND ADVANTAGES OF SINGLE-LAYER CLOSURE TO EN- MASSE CLOSURE IN THE SURGERIES OF THE ABDOMEN

Abstract

Background: The majority of general surgical procedures carried out are done in the abdominal region making the incision and suturing common practices in the field of surgery. Closure of the abdomen is a vital step, with the advent of newer techniques for suturing and suture material, repair technique, and incision, which has evoked great interest among surgeons.
Aim: The present clinical study was conducted to comparatively evaluate the advantages of single-layer closure to en- masse closure in the surgeries of the abdomen.
Subjects and Methods: The study included 64 subjects randomly divided into two groups of 32 subjects each were Group I was closed with single-layer closure, whereas, Group II subjects were managed with the layered closure. The subjects of two groups were assessed postoperatively on days 1, 3, 7, and 10 respectively, and were compared for burst abdomen, infection, and operative time. The follow-up was done every month for the first 3 months and then after 6 months.
Results: The study results showed that wound infection incidence was higher in Group II where closure was done in layers compared to Group I, where mass closure was done. in the Group I (mass closure) subjects, it was seen that elective surgeries were done in 11 subjects and emergency surgeries in 21 study subjects. In the elective surgery group, wound infection was seen in 1 subject with an abdomen burst and was seemingly in 1 subject and not seen in 9 subjects without an abdomen burst. In the emergency surgery group, wound infection was seen in no subject with abdomen burst and subjects without abdomen burst, wound infection was seen in 2 study subjects and not seen in 19 study subjects.