title: Study of two techniques for midline laparotomy fascial wound closure.
abstract: To study the results of two techniques, simple interrupted closure and continuous with intermittent Aberdeen knot technique for midline laparotomy fascial wound closure. A random selection of 200 midline laparotomy cases was done. In one group (group A) of 100 cases, midline fascial wound closure was done with continuous sutures with intermittent Aberdeen knot technique using Prolene No. 1 suture material. In the other group (group B) of 100 cases, closure was done with the technique of simple interrupted sutures with Prolene No.1 suture material. Comparison of both the techniques regarding preoperative status and postoperative complication such as incisional hernia, wound dehiscence, suture sinus formation, stitch granuloma, and chronic wound pain was done according to clinical examination and recorded in the pro forma prepared. In group A, postoperative complications were incisional hernia 3 %, wound dehiscence 4 %, and suture sinus formation 1 %. In group B, postoperative complication were incisional hernia 5 %, wound dehiscence 4 %, and suture sinus formation 1 %. All these complications were statistically insignificant, in both group comparisons. While the complication such as stitch granuloma 3 %, chronic wound pain 3 %, and wound infection 4 % in group A was significantly less than in group B where the complication of stitch granuloma was 12 %, chronic wound pain 13 %, and wound infection 13 % (P value 0.03, P value 0.018, and P value 0.048, respectively). Both the techniques, simple interrupted suture closure and continuous with intermittent Aberdeen knot closure for midline laparotomy fascial wounds, show a similar rate of postoperative complication such as incisional hernia, wound dehiscence, and suture sinus formation. But the continuous suturing with intermittent Aberdeen knot technique is a better option to prevent complications such as stitch granuloma, chronic wound pain, and wound infection, which are higher in the simple interrupted fascial wound closure technique.
authors.affiliation: Om-Swami, Doctor House, A-1-Duplex, Swaminarayan Nagar Ayurvedic College Road, Panigate, Vadodara, 390019 India ; Department of General Surgery, SBKS Medical College, Sumandeep University, Piparia, India.
authors.forename: Vipul
authors.initials: V
authors.lastname: Gurjar
authors.affiliation: Om-Swami, Doctor House, A-1-Duplex, Swaminarayan Nagar Ayurvedic College Road, Panigate, Vadodara, 390019 India ; Department of General Surgery, SBKS Medical College, Sumandeep University, Piparia, India.
authors.forename: B M
authors.initials: BM
authors.lastname: Halvadia
authors.affiliation: Om-Swami, Doctor House, A-1-Duplex, Swaminarayan Nagar Ayurvedic College Road, Panigate, Vadodara, 390019 India ; Department of General Surgery, SBKS Medical College, Sumandeep University, Piparia, India.
authors.forename: R P
authors.initials: RP
authors.lastname: Bharaney
authors.affiliation: Om-Swami, Doctor House, A-1-Duplex, Swaminarayan Nagar Ayurvedic College Road, Panigate, Vadodara, 390019 India ; Department of General Surgery, SBKS Medical College, Sumandeep University, Piparia, India.
authors.forename: Vicky
authors.initials: V
authors.lastname: Ajwani
authors.affiliation: Om-Swami, Doctor House, A-1-Duplex, Swaminarayan Nagar Ayurvedic College Road, Panigate, Vadodara, 390019 India ; Department of General Surgery, SBKS Medical College, Sumandeep University, Piparia, India.
authors.forename: S M
authors.initials: SM
authors.lastname: Shah
authors.affiliation: Om-Swami, Doctor House, A-1-Duplex, Swaminarayan Nagar Ayurvedic College Road, Panigate, Vadodara, 390019 India ; Department of General Surgery, SBKS Medical College, Sumandeep University, Piparia, India.
authors.forename: Samir
authors.initials: S
authors.lastname: Rai
authors.affiliation: Om-Swami, Doctor House, A-1-Duplex, Swaminarayan Nagar Ayurvedic College Road, Panigate, Vadodara, 390019 India ; Department of General Surgery, SBKS Medical College, Sumandeep University, Piparia, India.
authors.forename: Mitesh
authors.initials: M
authors.lastname: Trivedi
keywords: Fascial wound closure; Midline laparotomy; Suturing technique