The Comparison of Interrupted Modified Smead-Jones Versus Conventional Continuous Suturing Technique for Closure of Rectus Sheath in Patients Undergoing Laparotomy for Hollow Viscus Perforation.

Launched by KING EDWARD MEDICAL UNIVERSITY · Nov 17, 2024

Keywords

ClinConnect Summary

This clinical trial is studying two different methods for closing a surgical incision in the abdomen after an emergency surgery for a perforation (a hole) in the intestines. The two techniques being compared are the Modified Smead-Jones interrupted suture technique and the conventional continuous suture technique. The goal is to find out which method leads to better healing and fewer complications, such as the wound reopening (known as wound dehiscence).

To participate in this study, individuals must be between 18 and 60 years old and need to have surgery for a hollow viscus perforation. Certain patients, such as those who have had previous abdominal surgeries or specific types of injuries, will not be eligible. Participants will receive careful monitoring after their surgery, including daily check-ups to ensure their wound is healing properly. The study aims to provide valuable insights into the best practices for closing surgical wounds, ultimately improving patient care.

Gender

ALL

Eligibility criteria

• • Inclusion Criteria:All patients of both genders with age greater than 18 to 60 years, undergoing emergency laparotomy through midline incision for hollow viscus perforation.
• • ASA grade III -
• • Exclusion Criteria:Patients who had undergone a previous laparotomy for any condition or had an incisional hernia or burst abdomen at presentation.
• • Patients undergoing laparotomy with anterior abdominal wall injury in the form of muscle, hematoma, disruption or abdominal wall laceration.
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