Comparative Study of Mass Closure and Layered Closure Techniques in Midline and Paramedian Laparotomies

Comparative Study of Mass Closure and Layered Closure Techniques

  • Ganesh S Bhavikatti Assistant Professor, Department of Surgery, GIMS, Gadag, Karnataka.
  • Raghavendra Gupta GHV Senior Resident, Department of Surgery,JJMMC, Davangere, Karnataka.
Keywords: Mid-Line Incision, Paramedian Incision, Mass Closure And Layered Closure


Background: Many of the operations performed by the general surgeons take place within the abdomen and consequently incision and suturing of the abdominal layers are the commonest exercises in operative surgery. Abdominal closure is very important as regards to incision, technique of repair and use of newer suture material, and has created a great interest to surgeons. Subjects and Methods: 60 patients selected 30 are randomized to have mass closure technique and remaining by layered closure technique and grouped as 1 and 2 respectively. These patients are compared based on Operative time, infection, Burst Abdomen  and  followed on post op. day 1, day 3 , day 7, day 10 respectively and  followed up monthly for 3 months and then after 6 months. Results: The incidence of wound infection is higher in layered closure group (group 2) compared to mass closure group (group 1). Overall the rate of wound infection in the layered group is 36.66% whereas it is 13.33% in the mass closure group. Conclusion: Hence the use of mass closure is significantly better (p value <0.05) then layered closure technique in so far as the wound infection is concerned.