Comparison of conventional closure versus “re-modified Smead Jones” technique of single layer mass closure with Polypropylene (prolene) loop suture after midline laparotomy in emergency cases
DOI:
https://doi.org/10.18203/2349-2902.isj20173887Keywords:
Incisional hernia, Laparotomy, Smead Jones, Wound dehiscenceAbstract
Background: The occurrence of sudden disruption of the abdominal laparotomy wound is a major disaster in the life of a patient who has undergone an abdominal operation and a major psychological blow to the patient as well as the surgeon.
Methods: 100 consecutively enrolled patients who underwent emergency midline laparotomies were enrolled in the study who were admitted in Department of Surgery, JSS University, Mysore and intra-operatively randomized into two groups in 1:1 pattern.
Results: The total number of patients who underwent laparotomy for generalized peritonitis in 2 years was 100. The post-operative wound infection rate in Group A was 32.4% and in Group B was 12.3% (p = 0.03) and 95% CI (1.083-7.326).
Conclusions: Present study concluded that the modified version of Smead-Jones techniques of laparotomy closure with prolene loop had very low incidence of early and may reduce the late complications. It was superior to other conventional methods of closure.
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