Comparison of Absorbable with non Absorbable sutures in closure of Laparotomy incisions

Abstract

Objective: To compare the absorbable with non absorbable sutures in wound dehiscence after closure of Laparotomy incisions. Methodology: This randomized control trial was conducted in the department of general surgery, Bahawal Victoria Hospital, Bahawalpur in seven months duration from June 2016 to January 2017. Data was entered in statistical software SPSS version 23 and analyzed for desired variable analysis. Mean and SD was calculated for numerical data like age and Body Mass Index,  and frequency percentages were calculated categorical data like gender, Anemia etc. Chi square test was applied for effect modification or association of outcome variables with effect modifiers. P value < 0.05 was considered as significant. Results: In this study, a total number of 100% (n=130) patients were included, divided into two equal groups, 65 in each i.e. group Prolene and group Vicryl. In our study, wound dehiscence occurred in 6.2% (n=4) cases in whom Prolene was used whereas 21.5% (n=14) had wound dehiscence with the use of Vicryl suture. Vicryl was followed by significantly higher incidence of wound dehiscence than closure by Prolene (χ²= 6.448 DF = 1, P value=0.011). Conclusion: Observation of our study concluded that non absorbable Prolene has better outcome and less wound dehiscence and other complication as compared to absorbable Vicryl suture.

Keywords: Absorbable suture, non absorbable suture, wound dehiscence, laparotomy.