HUGHES REPAIR VERSUS VERTICAL MATTRESS SUTURE FOR LAPAROTOMY WOUND CLOSURE- A COMPARATIVE STUDY

Abstract

Background: Laparotomy is one of the most common surgeries performed by general surgeons in emergency as well as elective settings. The most frequent complications following midline laparotomy includes incisional hernias, which develop in 10-15 % of patients and surgical site infections in 15-25 % of cases. 1 Thus, the placement of incision and suturing of the abdominal layers is the most common procedure done in operative surgery. Acute wound failure occurs in approximately 1% to 3% of patients who undergo an abdominal operation. Dehiscence most often develops 7 to 10 days postoperatively but may occur any time after surgery, from 1 to more than 20 days.2 Hughes repair combines a standard mass closure (two loop 1-PDS sutures) with a series of horizontal and two vertical mattress sutures within a single suture (1 Nylon). Evaluate the Objectives: efcacy of Hughes technique versus vertical mattress closure in patient undergoing midline laparotomy in terms of 1. Surgical site infection 2. Wound dehiscence 3. Post-operative pain 4. Duration of hospital stay. Materials& Methods: Prospective, comparative study, A total of 30 patients undergoing abdominal midline laparotomy from March 2020 to August 2020 in Department Of General Surgery at R.L Jalappa Hospital and Research Centre, Tamaka, Kolar were considered for this study. Conclusion: We concluded that there is no difference between the two groups but Hughes repair had lesser post-operative pain but was more time consuming and prolonged the duration of the surgery. Whether to recommend this still remains doubtful and requires longer follow up and a larger sample size.