COMPARATIVE ANALYSIS OF SINGLE-LAYERED THROUGH-AND-THROUGH CLOSURE VERSUS MASS CLOSURE TECHNIQUES IN EMERGENCY MIDLINE LAPAROTOMY FOR PERITONITIS: A PROSPECTIVE STUDY

Abstract

This prospective study aims to evaluate the outcomes of single-layered through-and-through closure versus mass closure techniques in emergency midline laparotomy surgeries for peritonitis. A total of 100 patients diagnosed with acute peritonitis who underwent midline laparotomy were enrolled in the study, with 50 patients receiving single-layered closure and 50 receiving mass closure. The primary outcomes measured included postoperative complications, wound infection rates, and hospital stay duration. Secondary outcomes included pain scores and cosmetic results assessed at follow-up visits. The results indicated a significant reduction in wound infection rates in the single-layer closure group (10% vs. 30%, p < 0.05). Additionally, the average hospital stay was shorter in the single-layer group (5.2 days vs. 7.4 days, p < 0.01). Pain scores were also lower in the single-layer group at the 24-hour postoperative mark. The study concludes that single-layered through-and-through closure is a more effective and safer technique compared to mass closure in emergency midline laparotomies for peritonitis, leading to fewer complications and a quicker recovery for patients.

Keywords: Midline laparotomy, peritonitis, single-layer closure, mass closure, surgical outcomes