A PROSPECTIVE STUDY TO COMPARE CONTINUOUS VERSUS INTERRUPTED SUTURE IN PREVENTION OF BURST ABDOMEN

Aims And Objectives: The present study was undertaken to assess theproportion of burst abdomen in post midline laparotomy patient usinginterruptedXsuturesversuscontinuoussuturetechniqueinsheathclosure. Materials And Methods: A total of 50 patients undergoing midlinelaparotomyinemergencysettings,fromtheDepartmentofGeneralSurgery, Gadag Institute of Medical Sciences, Gadag, whose satisfying inclusion and exclusion criteria after takingwritten and informed consent were divided in to two groups of 25 each.In group A closure was performed using No.1 prolene suture, usinginterrupted X type, and in group B closure was done by continuousmethod,andthesepatients werefollowedupin thepostoperativeperiod. Results: Patients were followed up in the early post operative periodand regular follow up. 3 of the patients developed wound dehiscence, incontrastwithcontrolgroupinwhich9patientsdevelopedburstabdomen. 1 of our patients from the study group developed incisionhernia,7 from control group developed incision hernia. In the presentstudy 22patientsin whom interruptedXsuturingwasdonehadanormal wound healing compared to 16 patients with continuous group.5 patients from the interrupted group had a prolonged hospital staycomparedto11patientsfromthecontinuousgroup.Therefore,Interrupted X suturing technique overweighs the disadvantages of thecontinuoussuturingtechnique.Hencethetechniqueshouldbeconsidered. Conclusion:HenceInterruptedXsutureisbetterthancontinuoussheathclosureinpreventionofburstabdomen.