Double-lock technique: a simple method to secure abdominal wall closure.
Secure closure of a laparotomy incision remains an important aspect of any abdominal operation with the aim to avoid the postoperative morbidity and hasten the patient's recovery. Depending on the operator's preference and experience, it may be done by the continuous or the interrupted methods either using a non-absorbable or delayed-absorbable suture. We describe a simple, secure and quick technique of abdominal wall closure which involves continuous suture inter-locked doubly after every third bite. This simple and easy to use mass closure technique can be easily mastered by any member of the surgical team and does not need any assistant. It amalgamates the advantages of both, the continuous and the interrupted methods of closures. To our knowledge, such a technique has not been reported in the literature.
Department of General and Laparoscopic Surgery, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha-442102, Maharashtra, India. shekharsmitaj@yahoo.com
Priyadarshan Anand
PA
Jategaonkar
Sudeep Pradeep
SP
Yadav
D034861:Abdominal Wall / Q000601:surgery; D006801:Humans; D007813:Laparotomy / Q000379:methods*; D011183:Postoperative Complications / Q000517:prevention & control; D013536:Suture Techniques; D013537:Sutures; D016896:Treatment Outcome