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PROPHYLACTIC TENSION SUTURING IN LAPAROTOMIES FOR GROSS PERITONITIS- A DESCRIPTIVE STUDY

BACKGROUND Burst abdomen is a complication associated with much morbidity and mortality, postoperative to laparotomies. Any measure undertaken to prevent it is laudable and to be followed. There have been many studies as to how to counteract this complication. This study aims to have evidence on prophylactic retention suturing in cases of gross peritonitis, so as to prevent abdominal wound dehiscence. This study was carried out for a period of two years in a setting of tertiary hospital. Patients presenting with various causes of gross peritonitis were grouped as an interventional group and subjected to the intervention. The rate of wound dehiscence, evisceration leading to reoperation was enumerated and tabulated. Along with it, incidence of incisional hernia was also studied. In this study, it was found that retention sutures or tension sutures in laparotomies done for gross peritonitis could reduce potential complications like wound infection, incisional hernia, wound dehiscence etc., which were almost negligible in patients who underwent tension suturing. CONCLUSION Prophylactic retention suturing is a thing to be followed as a routine for all high-risk group of patients with potential wound dehiscence.