A COMPARATIVE STUDY OF SINGLE LAYER INTERRUPTED CLOSURE VERSUS SINGLE LAYER CONTINUOUS WITH INTERMITTENT ABERDEEN'S KNOTS CLOSURE OF LAPAROTOMY WOUNDS

Volume : VII, Issue : VI, June - 2018

Dr. Mohsin Khan, Dr. Anjani Jalaj, Dr. Amit Ojha

To compare the two techniques, single layer interrupted closure and continuous with intermittent Aberdeen‘s knots technique for midline

laparotomy fascial wound closure. 100 midline laparotomy cases were compared as two groups (A and B) of 50 each .Comparison regarding

Operative time ,Ease of applicability and postoperative complication such as like seroma, wound infection, wound gaping, burst abdomen, suture

sinus formation, stitch granuloma, and incisional hernia were done according to clinical examination.Every surgeon found easy mode of

application in group B, while almost equal surgeons found group A technique to be moderate /difficult as compared to other conventional methods

with P value 0.0000 which was highly significant. Also continuous closure with intermittent Aberdeen‘s knots took significantly lesser time making

it a faster, easier and better option. The result for post operative complications as seen in our study for seroma formation (Chi=4.76, P=0.029,

<0.05), wound infection (chi=5.316, P=0.021<0.05), suture sinus formation (chi=6.383, P=0.012<0.05), Stitch granuloma

(chi=6.383,P=0.012<0.05),indicated that single layer continuous with intermittent Aberdeen‘s knots closure has significantly lesser complications.

Also complications such as incisional hernia (chi=0.211,P=0.646),burst abdomen (chi=0.00,P=1.00),and wound gaping (chi=0.00,P=1.00),were

equally seen in both techniques of closure adding that single layer interrupted closure offers no added advantage over newer technique.