Comparative study between delayed absorbable and non–absorbable sutures in cases of abdominal fascia closure for laparotomy

Dr. Pankaj Kumar; Dr. Rakesh Kumar

Volume : VII, Issue : V, May - 2017

Comparative study between delayed absorbable and non–absorbable sutures in cases of abdominal fascia closure for laparotomy

Dr. Pankaj Kumar, Dr. Rakesh Kumar

Abstract :

For abdominal fascial closure various suture material and technics has been used .the aim of this study was to compare the post operative wound complication by using x mass closure technic with Polydiaxonone and polypropylene suture. Patients admitted in department of surgery LJNMCH Bhagalpur ,bihar were included in this study. Total 50 patients included 25 in each group. The patients were followed–up 01, 02 weeks and then one month after surgery. People around 36–45 years age group formed the maximum numbers in this study. Male to Female ratio was 1.94:1. There was one burst abdomen (out of 25 cases, 4%) in Polypropylene group and none (out of 25 cases) in Polydiaxanone group. Incidence of wound infection was 12%( 6 out of 25 cases) in Polypropylene group compared to 6% ( 3 out of 25 cases) in Polydiaxanone group. The relative risk of wound infection was 0.50. The complications like burst abdomen, wound infection and suture sinus. incidence of suture sinus was 12% (3 out of 25 cases) in Polypropylene group as compared to 4% (1 out of 25 cases) in Polydiaxanone group. Infection rate was 12% (6 cases) in Polypropylene group and 6% (3 cases) in Polydiaxanone group. Hence interrupted X suture technique using No.lPolydiaxanone (PDS) for closure of midline laparotomy incision, is superior to no. 1 Polypropylene (PPL) suture material. Also PDS is superior in preventing major post–operative wound.