Abstract
Comparative Study Between Mass Closure and Hughes Repair in Emergency Laparotomy
Highlights
Incisional hernias are defects which develop around the site of the scar of previous laparotomy and some of them are overt and could be detected clinically and others are radiologically detected [1]
The standard way of abdominal closure is mass closure using non absorbable sutures [4], so far there is no consensus on the best technique or the best suture material to be used .Hughes repair was described by professor Leslie Hughes and known as Cardiff repair [5], combines a standard mass closure with a series of horizontal and two vertical mattress sutures within a single suture,theoretically distributing the load along the incision length as well as across it [6]
Aim of the Work To compare mass closure & Hughes repair in emergency laparotomy as regard operative time, incidence of complication as
Summary
Incisional hernias are defects which develop around the site of the scar of previous laparotomy and some of them are overt and could be detected clinically and others are radiologically detected [1]. They are a common complication following midline incisions and are associated with increased morbidity and affect the quality of life and further repair may increase the economic burden and overall cost [2]. Safe closure of laparotomy wound is the key to reduce the postoperative morbidity like wound pain, wound infection and incisional hernia Exploratory laparotomy is not an uncommon operation. and safe closure of laparotomy wound is the key to reduce the postoperative morbidity like wound pain, wound infection and incisional hernia
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