Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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A Prospective Randomized Control Study on the Efficacy of Continuous Single Layer Closure Technique Versus Continuous Mass Closure Technique in Midline Laparotomies in Kanyakumari Government Medical College
A. Prabhakaran and S.A. Malathi
Page: 512-516 | Received 23 Feb 2024, Published online: 10 Mar 2024
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Abstract
Midline laparotomy is a prevalent surgical approach, yet the optimal closure technique remains undetermined due to varying postoperative complications. This study aims to compare the efficacy of the continuous single‐layer closure technique with the continuous mass closure technique in midline laparotomies at Kanyakumari Government Medical College, focusing on reducing postoperative complications. This prospective randomized controlled study was conducted in a single center, employing a double‐blinded design. Fifty patients undergoing midline laparotomies were randomly assigned into two groups: continuous single‐layer closure technique (Group A) and continuous mass closure technique (Group B). Randomization was achieved using the closed envelope method. Outcome measures included the time taken for closure, persistent wound pain, surgical site infection, wound dehiscence, and incisional hernia. Patients were monitored for immediate, short‐term and long‐term postoperative outcomes. Preliminary assumptions suggest that the single‐layer technique may reduce the time required for closure and the risk of accidental bowel injury. This method is hypothesized to lead to fewer postoperative adhesions due to minimal peritoneal ischemic. Immediate outcomes between the two techniques are anticipated to be comparable. However, the single‐layer technique is expected to result in lower rates of short‐term wound dehiscence and long‐term incisional hernias. The study hypothesizes that the continuous single‐layer closure technique may offer superior outcomes in terms of operation time, safety, and postoperative complications compared to the continuous mass closure technique. Final results will provide more definitive conclusions on the efficacy of each technique in managing midline laparotomies.
How to cite this article:
A. Prabhakaran and S.A. Malathi. A Prospective Randomized Control Study on the Efficacy of Continuous Single Layer Closure Technique Versus Continuous Mass Closure Technique in Midline Laparotomies in Kanyakumari
Government Medical College.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.4.512.516
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.4.512.516