Abstract
Abdominal surgeries are the most common surgeries performed around the world. Closure of abdominal wound is important and a number wound closing techniques are in practice. This study was conducted to determine the outcome of the choice of wound closure technique in emergency laparotomy. Methods: It was a retrospective study from March–September 2019, conducted at the Surgical A unit, Ayub Teaching Hospital, Abbottabad. Ninety-five patients aged 22–60 years, who underwent emergency laparotomies via midline and para-median incisions were included in the study. Results: There were 74 (77.89%) males and 21 (22.11%) females. Anatomical closure technique was used in 67 (70.53%) of study participants while mass closure technique was used in 28 (29.47%) of study participants. 50 (52.63%) patients had anaemia, 27(28.42%) had hypo-proteinemia, and 14 (14.74%) developed peritonitis. Post-operative wound infection was noticed in 15 (15.79%) patients. Out of 95 patients, 19 (20%) developed burst abdomen. Overall, 5 (5.26%) patients died in the hospital. All cases of burst abdomen occurred within first two weeks of hospital stay (p= 0.004), had an association with peritonitis (p=0.0001) and post-operative wound infection (p= 0.005). Wound closure technique was not associated with development of post-operative complications including burst abdomen (p >0.05). Conclusion: Post-operative complications occur independently of wound-closure technique and surgeons should have a low threshold for prevention of post-operative complications where possible
Babar Sultan, Muhammad Kashif Rafiq, Haider Kamran, Yousuf Aziz Khan, Fazli Wadud, Muhammad Ayub, Saad Ali, Ammad Ali. (2022) OUTCOME OF THE CHOICE OF WOUND CLOSURE TECHNIQUE IN EMERGENCY LAPAROTOMY, JOURNAL OF AYUB MEDICAL COLLEGE ABBOTTABAD, Volume 34, issue1.
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