Emergency laparotomy is associated with high morbidity, particularly due to wound dehiscence and infection. Choosing an optimal suturing technique can significantly impact patient outcomes, but data on the comparison of interrupted suturing with continuous suturing in emergency settings is limited. Therefore, the current study was planned, aiming to compare the outcome of emergency laparotomy wounds closed by interrupted suturing versus continuous suturing.
Interrupted suturing has been suggested to provide better tensile strength and allow for better healing by reducing tension across the wound. Several studies have reported a significantly lower incidence of wound dehiscence with interrupted suturing compared to continuous suturing. Additionally, interrupted suturing may lower the risk of wound infection by reducing bacterial migration along the suture line. Despite that, continuous suturing generally provides faster, more cost-effective wound closure with superior cosmetic outcomes and reduced short-term pain compared to interrupted sutures. If the study finds interrupted suturing to have superior outcomes, it could become the preferred method for emergency laparotomy closure, improving surgical success rates and patient recovery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
184
Patients went through interrupted closure with Smead Jones technique using prolene 1.
Patients went through continuous closure with prolene 1.
Benazir Bhutto Hospital/Rawalpindi Medical University and Allied Hospitals
Rawalpindi, Punjab Province, Pakistan
Wound dehiscence
The frequency of patients who experienced spontaneous opening of the midline laparotomy sutures within 10 days of surgery was noted.
Time frame: 10 days
Wound infection
The frequency of patients who showed the presence of pus or any discharge at the surgical wound site, which was accompanied by pain, fever, raised white blood cell count (\> 11000), swelling, and erythema, was noted.
Time frame: 10 days
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