Abu, Muhammad Naveed, Mian Umar Javeed, Ali Akbar.
Comparison of Wound Dehiscence in Interrupted with Continuous Closure of Laparotomy.
Pak J Med Health Sci Jan ;7(3):826-9.

Aim: To compare the frequency of wound dehiscence in cases of exploratory laparotomy closed by either interrupted or continuous technique. Study design: Randomized Controlled Study Place and duration: Surgical Unit I, Jinnah hospital, Lahore from 26-01-2010 to 25-07-2010 Methods: One hundred and sixty patients undergoing laparotomy were registered who fulfilled the inclusion criteria. The allocation of cases to two study groups was settled by random number table. The principal operative technique for Group A was continuous closure and for Group B was interrupted closure. They were observed for 8 days for wound dehiscence. Results: Out of one hundred and sixty patients, 113(70.62%) had acute abdomen while 47 (29.38%) presented with abdominal trauma. They underwent exploratory laparotomy through midline incision. 11(13.75%) had wound dehiscence in group A while in group B, 2(2.50%) had wound dehiscence. Conclusion: Interrupted closure of exploratory laparotomy is associated with less risk of wound dehiscence as compared to continuous closure.

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