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WOUND DEHISCENCE: CONTINOUS VS INTERRUPTED SUTURES

Dr. Mohtamam Nazir, Dr. Muhammad Hassan Abbas, Dr. Noor Ahmed Niazi, Dr. Sultan Ahmed Awaisi, Dr. Hassan Mahmood Tabassum, Dr. Haroon-ur-Rashid

Objective: Frequency of wound dehiscence in interrupted vs continuous suturing after laparotomy. Study Design: Randomize control trial. Settings: Department of Surgery Sheikh Zayed Hospital Rahim Yar Khan. Duration of Study: 01-01-2018 to 30-11-2018. Methodology: In this study the cases of both gender having age 18 years or more were selected and were divided into two equal groups. After the surgery the cases in group A were closed with interrupted while those in group B with continuous suturing method and were followed on daily basis to look for signs of dehiscence i.e. effacement of the wound margins. Results: In this study total 64 subjects undergoing laparotomy were enrolled with mean age of 44.81±8.09 vs 43.63±9.13 years in group A and B with p= 0.87. There were 16 (50%) males in group A and 18 (56.25%) in group B (p= 0.91). Wound dehiscence was observed in 3 (9.38%) cases in group A managed by interrupted suturing and 7 (21.88%) cases with continuous suturing with p= 0.01. Conclusion: Wound dehiscence is significantly more observed with continuous in contrast to interrupted suturing. Keyword: Suturing, Interrupted, Continuous.

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