Comparison of conventional closure versus “re-modified Smead Jones” technique of single layer mass closure with Polypropylene (prolene) loop suture after midline laparotomy in emergency cases

Abstract

Background: The occurrence of sudden disruption of the abdominal laparotomy wound is a major disaster in the life of a patient who has undergone an abdominal operation and a major psychological blow to the patient as well as the surgeon.Methods: 100 consecutively enrolled patients who underwent emergency midline laparotomies were enrolled in the study who were admitted in Department of Surgery, JSS University, Mysore and intra-operatively randomized into two groups in 1:1 pattern.Results: The total number of patients who underwent laparotomy for generalized peritonitis in 2 years was 100. The post-operative wound infection rate in Group A was 32.4% and in Group B was 12.3% (p = 0.03) and 95% CI (1.083-7.326).Conclusions: Present study concluded that the modified version of Smead-Jones techniques of laparotomy closure with prolene loop had very low incidence of early and may reduce the late complications. It was superior to other conventional methods of closure.