Tension Distribution Suture to minimize Burst Abdomen Post Contaminated Laparotomy | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2024, Issue 7, July 2024 | ||||
| DOI: 10.58675/2682-339X.2544 | ||||
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| Authors | ||||
| Mohamed Alkordy; Mohamed Shalamesh; Mohamed Mohamed | ||||
| General Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: Burst abdomen, also known as abdominal dehiscence, is a severe postoperative complication that frequently necessitates immediate surgical intervention. Nevertheless, there is a lack of substantial evidence about surgical procedures to prevent burst abdomen recurrence (BAR). Aim and objectives: To assess the efficacy of tension distribution suture (interrupted X technique) to minimize burst abdomen post-contaminated laparotomy. Subjects and methods: This prospective interventional study was undertaken on a cohort of 50 patients who had contaminated laparotomy at Al-Azhar University Hospitals between April 2022 and October 2023. Results: No statistically significant difference was observed within the study group regarding the link between anaemia and burst abdomen and the correlation between sepsis and burst abdomen. A notable disparity was observed within the examined group regarding the link between Hypoalbuminemia and burst abdomen, the correlation between wound infection and burst abdomen, the correlation between postoperative cough and burst abdomen, and the correlation between chronic renal failure and burst abdomen. Conclusion: This study concluded that the distribution suture (interrupted X technique) effectively minimized burst abdomen post-contaminated laparotomy. However, older Age, Hypoalbuminemia, high BMI, wound infection, postoperative cough and chronic renal failure were significantly associated with the development of a burst abdomen. | ||||
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