COMPARATIVE STUDY BETWEEN MONOLAYER CLOSURE VERSUS DOUBLELAYER CLOSURE IN MIDLINE LAPAROTOMY-IN A TERTIARY CARE HOSPITAL IN TRIPURA, INDIA

In this study, the incidence of post-operative complications like wound sepsis is 10% in monolayer closure while 26% in double layer closure ; wound dehiscence is 4% in monolayer closure while 18% in double layer closure ; stitch sinus formation is 2% in monolayer closure while 4% in double layer closure ; Persistent wound pain is 12% in monolayer closure while 14% in double layer closure and incisional hernia is 0% in monolayer closure while 8% in double layer closure. Thus the incidence of post operative complications like wound sepsis, wound dehiscence, stitch sinus formation, persistent wound pain and incisional hernia were less in monolayer closure. However longer study period is required to know the exact incidence of incisional hernia. Hence, mono layer closure technique is better than double layer closure of midline laparotomy wound in terms of post-operative complications..