A comparative study of single layer closure and conventional layered closure of laparotomy wounds in a rural setup

Introduction: Many of the operations performed by the general surgeons take place within the abdomen and consequently incision and suturing of the abdominal layers is the most common exercise in operative surgery. Abdominal closure is very important with regard to incis great interest to surgeons. Recent data suggests that technical factors are crucial and can be manipulated by the surgeon. Different suture techniques are used for closure of lapa method of abdominal wound closure is modified frequently. Commonly followed methods of abdominal closure are conventional layered closure and single layer closure. conventional layered closure of laparotomy wounds in a rural setup. dividing them into two groups of 30 each. Patients of one group will undergo closure of the laparotomy wound by conventional methods and the other group will undergo closure in a single layer. The objectives being to: operative time and healing time for single layer closure and conventional layered closure of laparotomy wounds. Compare the post-operative laparotomy wounds, like seroma, wound infection, wound gaping, burst abdomen and incisional hernia. Comparing both the closures, single layer closure had reduced operative time than conventional layered closure, and hence, lessens anaesthetic hazards, reduces cost of anesthetic agents and saves the surgeons time. Incidence of postoperative complications significantly less in single layer closure technique.