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Background: The present study was undertaken to assess theproportion of Burst abdomen in post midline laparotomypatients, using Interrupted X suture versus Continuous suturetechnique in sheath closure.Materials & Methods: A comparative prospective hospitalbased study done on 50 patients reporting to the Surgery dept.,RVRS Medical College and attached groups of MahatmaGandhi Hospital, Bhilwara, Rajasthan. After taking writteninformed consent and were equally divided into all cases eachin the study group (interrupted X suture) and control group(continuous suture). All the patients scheduled to undergo amidline laparotomy for emergency or elective reasons. Patientsyounger than 18 years of age, patients who had undergone aprevious laparotomy for any condition (or had a incisionalhernia or burst abdomen at presentation) and patients whorequired a re – exploration in post op course were excludedfrom the present study.Results: Our study showed that the mean age of patients was45 years in both groups. Male to female ratio was 2.5:1 ininterrupted X-suture group and 1.5:1 in continuous suturegroup. The 40% dirty wound was found in interrupted X-suturegroup and 32% continuous suture group. Because interruptedsuture use more in dirty wound during patients selection. Thewound infection, dehiscence and incisional hernia were mostlyoccurred in continuous suture group as compared tointerrupted X-suture group.Conclusion: We concluded that the wound infection,dehiscence and incisional hernia were mostly occurred incontinuous suture group as compared to interrupted X-suturegroup in our study.
RESUMO
Background: Open cholecystectomy has been the treatment of choice for more than a century since its introduction and the procedure is standardized among surgeons. Encouraged by the success of laparoscopic cholecystectomy, which has become the gold-standard treatment for gallstone disease in a short span of time, laparoscopic surgery has gained in popularity and found application in almost every surgical specialty. Aim of the study: To compare laparoscopic cholecystectomy and open cholecystectomy with acute cholecystitis. Materials & Methods: The present study was conducted in the Department of General Surgery of Mahatma Gandhi Hospital, Bhilwara, Rajasthan, India. . For the study, we retrospectively viewed the medical records of patients aged 30-65 years with acute cholecystitis who underwent Laparoscopic cholecystectomy (LC) and were compared patients who underwent open cholecystectomy (OC). A total of 44 (22 each for LC and OC) were selected. The analysis of preoperative, intra-operative, and postoperative parameters was done and was compared. Results: A total of 44 patients were included in the study. The surgical procedure for LC and OC were performed by experienced surgeons. The Male/Female ratio in LC and OC group was 14/8 and 12/10 respectively. The mean age of patients in LC group was 42.1+4.8 years and in OC group was 44.5+4.2 years. The mean body weight of LC and OC group was 60.2+9.3 kg and 58.6+8.3 kg respectively. The mean operative time period for LC was 66.8 minutes and for OC was 91.2 minutes. Blood loss more than 500 mL was seen in 2 patients for LC and 4 patients for OC. The nasogastric tube was employed in 8 patients in LC and 12 patients in OC. Conclusion: Laparoscopic cholecystectomy is safer procedure in comparison to open cholecystectomy. The postoperative stay at hospital was shorter with laparoscopic cholecystectomy.