Mass closure versus layered closure of midline laparotomy incisions

Abstract

Background: When surgeons started performing surgeries since 19th century, they have to impose wound on their patients and it is their duty to strive constantly to get these wounds to heal as quickly, reliably and severely as possible, and now the behaviour of surgical wound is largely predictable. This study aims to evaluate the benefits or otherwise between single layer closure and layered closure in a peripheral medical college. Methods: All patients who have undergone emergency exploratory laparotomy in Department of General Surgery, College of Medicine and JNM Hospital, Kalyani Results: In our study, out of 50 patients, most of the patients were >30 years old [19 (38.0%)]. Seven (28.0%) patients were >30 and <61 years of age in group A (mass closure) and 12 (48.0%) patients were >30 years of age in group B (layered closure). Age was not significantly associated with group in group A (mass closure) and group B (layered closure) (p=0.0540). We observed that, mean age was lower in group B (layered closure) (37.7600±14.8304) compared to group A (mass closure) (47.3600±15.0993) though it was statistically significant (p=0.0279). Conclusions: In our study, out of 50 patients, most of the patients were >30 years old and age was not significantly associated with group in group A (mass closure) and group B (layered closure). We found that, male population and female population were equal in both two groups. Sex was significantly related with two groups. We observed that, Band adhesion and Perforated appendix were equal in both groups. Which was not statistically significant.