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TITLE:

OUTCOME OF PERITONITIS LAPAROTOMY AFTER PRIMARY CLOSURE VERSUS DELAYED PRIMARY CLOSURE

AUTHORS:

Dr. Fida Hussain Shah, Dr. Sohail Ahmed Memon, Dr. Sohail Yousuf

ABSTRACT:

OBJECTIVE: To compare the outcome of primary closure versus delayed primary closure among patients undergo laparotomy for peritonitis at tertiary care Hospital. MATERIAL AND METHODS: The present study was carried out at general surgery department of Liaquat University of Medical and health Sciences, over the period of one year from 2015 to 2016. Patients presented with peritonitis and underwent laparotomy either of gender were included. Patients were categorized in II groups “group A and group B”. Cases of group-A underwent primary closer and patients of group B underwent delayed primary closer. All the data was recorded using self-made proforma and analyzed by using SPSS version 20. RESULTS: Total 60 patients were studied 30 in each group. 20-40 years age group was most common among both groups as 20(66.7%) and 18(60.0%) respectively. No significant difference was observed according to gender in both groups (p-value-0.136). In primary closure group, wound infection rate was high as compared to the group delayed primary closure (p= 0.033). Hospital stay remained higher in primary closure group 8.01±1.41 days and within delayed primary closure group 5.05±1.61 days (p=0.025). CONCLUSION: It was concluded that delayed primary closure is favorable technique with very lower rate of wound infections and shorter Hospital stay as compare to primary closure. KEY WORDS: Peritonitis, laparotomy, Primary closure, delayed Primary closure

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