Outcome of Mass Abdominal Fascial Closure in Midline Laparotomies: A Clinical Study at AVBRH

The study was focused to assess the outcome of the Mass closure in all midline laparotomy procedure regardless of the underlying condition and to understand the outcome. Materials and methods A prospective study was carried out on 100 patients at a Rural Hospital undergoing midline laparotomy and the closure of abdomen was performed by a non absorbable polypropylene (Prolene) suture material, in a continuous Mass closure technique followed by the rate of incidence of development of complications like surgical site infection, wound dehiscence (partial or complete) and incisional hernia were assessed and correlated with the patient related factors. Results Surgical site infection was the most common complication encountered, followed by incisional hernia and wound dehiscence. Hypoproteienemia was significantly associated with the incidence of complications. Surgical site infection has a strongly significant association, with the incidence of development of incisional hernia as well as wound dehiscence. Conclusion Continuous mass closure is the ideal technique for the closure of the abdomen with a non-absorbable polypropylene suture material, in the absence of patient confounding factors like hypoproteinemia and surgical site infection.