ISSN : 2663-2187

Comparative Study of Mass Closure and Layered Closure Techniques in Abdominal Incisions

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Ashraf Ibrahim El-Sharkawy, Mona Mohammad Farid Al-Zamek, Islam Mohamed Saad Ahmed
» doi: 10.48047/AFJBS.6.14.2024.3603-3618

Abstract

Background: Closing abdominal wounds after surgery is one of the challenges facing surgeons, and the goal is always to reach the best possible way to close these wounds, especially as they are considered the most prevalent in the field of general surgery. Objective: To evaluate the operative technique and postoperative complications of abdominal incisions regarding to mass closure and layered closure. Patients and Methods: From September 2021 to September 2023, this research has been performed in the general surgery department of Damanhour Medical National Institute and Al-Zahraa University Hospital. It involved one hundred cases who suffered midline or paramedian laparotomy. After obtaining informed consent in accordance with the ethical committees of both hospitals, all patients were included in the investigation. Results: Abdominal burst in our study occurred in 8% in layered closure group and 2% in mass closure group. Incisional hernia was of 6% rate in layered closure and. 0% rate in mass closure these differences are of statistically significant. In current research, the rate of sinus formation was 2% for the mass closure group & 2% for the layered closure. Conclusion: Performing the best way to close the abdominal wall after surgery represents a prophylaxis from the difficult complications associated with abdominal wounds, and thus we will have avoided the patient a great health and psychological problem, and the surgeons will avoid the consequences of fixing these complications and the society will spare us the costs.

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