TY - JOUR
T1 - Interrupted Abdominal Closure Prevents Burst
T2 - Randomized Controlled Trial Comparing Interrupted-X and Conventional Continuous Closures in Surgical and Gynecological Patients
AU - Agrawal, Chandra Shekhar
AU - Tiwari, Pamit
AU - Mishra, Sangeeta
AU - Rao, Arpit
AU - Hadke, Niladhar S.
AU - Adhikari, Shailesh
AU - Srivastava, Anurag
N1 - Publisher Copyright:
© 2012, Association of Surgeons of India.
PY - 2014/8/1
Y1 - 2014/8/1
N2 - Reduction in the risk of abdominal dehiscence with application of interrupted method of laparotomy closure and comparison with risk of burst with continuous method of closure. Three hundred forty eight patients undergoing laparotomy (114–elective gynecology, 114–emergency gynecology, 120–emergency surgery) were randomized into three arms to undergo closure with continuous, interrupted-X, and Modified Smead-Jones suturing techniques. Burst abdomen occurring up to 4 weeks of operation. Twenty-nine (8.33 %) of 348 patients developed burst in the post-operative period. 19 (15.70 %) of 121 patients in continuous arm developed burst. Five of 110 (4.55 %) patients in Interrupted-X arm and 5 of 117 (4.27 %) patients in Modified Smead-Jones arm developed burst. Interrupted suturing was associated with significant reduction in risk of burst when compared with continuous closure. Important predictors of burst were Intraperitoneal sepsis, cough, uremia, and surgical site infection.
AB - Reduction in the risk of abdominal dehiscence with application of interrupted method of laparotomy closure and comparison with risk of burst with continuous method of closure. Three hundred forty eight patients undergoing laparotomy (114–elective gynecology, 114–emergency gynecology, 120–emergency surgery) were randomized into three arms to undergo closure with continuous, interrupted-X, and Modified Smead-Jones suturing techniques. Burst abdomen occurring up to 4 weeks of operation. Twenty-nine (8.33 %) of 348 patients developed burst in the post-operative period. 19 (15.70 %) of 121 patients in continuous arm developed burst. Five of 110 (4.55 %) patients in Interrupted-X arm and 5 of 117 (4.27 %) patients in Modified Smead-Jones arm developed burst. Interrupted suturing was associated with significant reduction in risk of burst when compared with continuous closure. Important predictors of burst were Intraperitoneal sepsis, cough, uremia, and surgical site infection.
KW - Abdominal wound dehiscence
KW - Burst abdomen
KW - Emergency laparatomy
KW - Gynecological surgery
KW - Interrupted X suture
KW - Prof Hughes’ far & near suture
KW - Randomized trial
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U2 - 10.1007/s12262-012-0611-8
DO - 10.1007/s12262-012-0611-8
M3 - Article
AN - SCOPUS:84907590395
SN - 0972-2068
VL - 76
SP - 270
EP - 276
JO - Indian Journal of Surgery
JF - Indian Journal of Surgery
IS - 4
ER -