EFFICACY OF INTERMITTENT AND CONTINUOUS ABERDEEN SUTURES FOR CLOSURE OF FASCIAL WOUNDS FOLLOWING LAPAROTOMY

Abstract

Background: Following a laparotomy, wound closure is crucial. Fascial layers play a major role in tensile strength during wound closure. Wound infection and poor healing were common post-operative problems following abdominal  procedures.

Objective: To evaluate abdominal wound closure in terms of clinical results, infection, and discomfort. Methods: Pre-rectal and per-abdominal examinations, chest X-rays, and regular blood investigations were performed on all patients undergoing laparotomies. The wounds were then closed with continuous suturing using an Aberdeen knot. After surgery, postoperative problems were assessed, and the individuals were monitored at week 1, day 15, and three and six months.

Results: Of the 90 study participants, diabetes mellitus was the most prevalent comorbidity, reported by 60% of them. Anemia, chest infections, and hypertension, on the other hand, were reported by 36%, 26%, and 12% of the participants, respectively. 10% (n=15) of the research participants experienced wound infection, which was the most frequent complication. Chronic wound discomfort was reported by 6% (n=9) of the participants, wound dehiscence by 4% (n=6), and incisional hernia by 2% (n=3) of the participants.

Conclusion: continuous suturing and the Aberdeen knot lower the incidence of infection. There are also fewer complaints of wound discomfort, stitch granuloma, suture sinus development, incisional hernia, and/or wound dehiscence, all of which indicate minor problems.