Urooj Akmal, Abdul Qaiyoume Amini, Shahida Perveen Afridi.
Abdominal wound dehiscence in interrupted versus continuous closure of rectus sheath after midline emergency laparotomy incision.
J Surg Pak Jan ;21(3):97-101.

Objective: To find out frequency of abdominal wound dehiscence in interrupted versus continuous closure of rectus sheath after midline emergency laparotomy incision. Study design: Randomized control trial. Place & Duration of study: Department of Surgery, Dow University of Health Sciences / Civil Hospital, Karachi, from February 2015 to January 2016. Methodology: Patients with diagnosis of acute abdomen secondary to peritonitis / gut perforation underwent laparotomy through midline incision in emergency operation theater. A total of 88 patients were randomly allocated into two groups. In group A, closure of abdominal wound (rectus sheath) was done with interrupted method taking the sutures 1cm apart and 1cm away from the edges of incision while in group B, the closure was done with continuous method. Polypropylene suture was used for closure. Final outcome was measured after 30 days. Results: The average age of the patients was 29.89±5.89 year. Frequency of abdominal wound dehiscence was significantly high in group A (Interrupted) as compare to group B (Continuous) (20.5% vs 4.5% - p=0.024). Conclusion: Continuous closure technique is a superior method of closure as it resulted in less wound dehiscence and its relative ease of application in short time.

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