IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-6-3-10232 Original Research Paper SINGLE LAYER CLOSURE VERSES CONVENTIONAL LAYERED CLOSURE OF LAPAROTOMY WOUND; A RANDOMISED CONTROLLED TRIAL IN RURAL MAHARASHTRA Sadanand Balkrishna Joshi Dr. Dr. Asha Sadanand Joshi Dr. March 2017 6 3 01 02 ABSTRACT

 Aim:To compare the techniques of single layer closure and conventional layered closure of laparotomy wounds in a rural setup.  Methadology: 40 patients undergoing laparotomy were included in the study, randomly divided into 2 groups. In group–1 all the 20 patients single layer wound closure was done while in group–2 all 20 patients conventional layered closure was done. The operative time, healing time and postoperative complications were studied in each group and compared with each other. Results: Comparing both the closures, single layer closure had reduced operative time than conventional layered closure, and hence, lessens anaesthetic hazards, reduces cost of anesthetic agents and saves the surgeons time. Post operative complications such as seroma, wound infection, wound gaping, burst abdomen and incisional hernia were significantly less with single layer closure as compared to conventional layered closure