Abstract
Objective: To compare the outcome of managing abdominal wound dehiscence by deep tension suture against the use of Bogota bag afteremergency and elective laparotomies. Materials and methods: This comparative cross-sectional study was carried out in a tertiary care hospital in North East India. Four hundred and seven patients undergoing midline laparotomyeither in emergency or elective setup were included in the study. Wounds were examined from third postoperative day onwards for any signs of wound dehiscence. Patients were divided into two groups i.e. group A, managed with deep tension sutures and group B, managed with Bogota bagapplication. Results: 60 out of 407 (14.74 %) patients developed complete wound dehiscence (burst abdomen).Frequency of burst abdomen was significantly higher after emergency (16.62 %) than elective laparotomies (3.45%). Group A (n=30) was managed with deep tension sutures and group B (n=30) was managed with Bogota bag. Group A was associated with lessmorbidity, less number of further surgeries and lower mortality. Conclusion: Abdominal closurewith deep tension sutures is an effective way of managing patients with completewound dehiscence while Bogota bag application may be used in difficult cases due to generalized gut edema or need of further re-operations.
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