Post-operative Outcome of Hughes Abdominal Repair and Conventional Continuous Closure of Midline Incision in Emergency Laparotomy

Authors

  • Sharmin Aktar Assistant Professor of Surgery, Chattogram International Medical College, Chattogram.
  • Nazmul Hosain Professor and Head of the Dept. of Cardiac Surgery, Chittagong Medical College, Chattogram.
  • Md Nur Hossain Bhuiyan Professor of Surgery, Dhaka Medical College, Dhaka.
  • Shafia Alam Junior Consultant, Surgery, Rangunia Upazila Health Complex, Chattogram.
  • Md Anisuzzaman Assistant Professor of Cardiac Surgery, Chittagong Medical College, Chattogram.
  • Md Abdul Quaium Chowdhury Assistant Professor of Surgery, Chittagong Medical College, Chattogram.

DOI:

https://doi.org/10.3329/jss.v26i1.86082

Keywords:

Hughes abdominal repair, Conventional continuous closure, Midline incision, Emergency laparotomy

Abstract

Background: Conventional continuous closure or mass closure for abdominal closure with monofilament non- absorbable Polypropylene is one of the widely used standard techniques. Hughes repair named after Professor Leslie Hughes, is a combination of one horizontal and two vertical mattress sutures in a single suture where load is distributed along the incision length as well as across it. Objective of this study include comparing post-operative wound complications in Hughes abdominal repair and those with that by conventional continuous closure in midline abdominal incision in emergency laparotomy.

Methods: This study was conducted in the Department of Surgery & Casualty, Chattogram Medical College Hospital, Bangladesh between May 2018 and April 2019. Study population included 39 patients in Group A whom Abdomen was closed by Hughes abdominal repair and 39 patients in Group B in whom Abdomen was closed by conventional continuous closure.

Results: Four (10.3%) patients had wound infection in group A and six (15.4%) in group B. Two (5.1%) patients had partial wound dehiscence in group A and six (14.4%) in group B. The difference of wound infection and partial wound dehiscence were found statistically not significant. Two patients had burst abdomen in group A and nine in group B, which was found statistically significant (p<0.05). Mortality rate was zero for both groups in the present study. Mean time to stay in hospital was 9.59 ± 4.756 days in Group A and 14.77 ± 9.042 days in Group B respectively. The difference was statistically significant (p<0.05) between two groups.

Conclusion: Hughes abdominal repair of vertical midline abdominal incision showed a better result on the patients who underwent in emergency laparotomy and was found to be associated with a low incidence of serious complications.  

Journal of Surgical Sciences (2022) Vol. 26(1) : 42-48

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Published

2022-02-20

How to Cite

Aktar, S., Hosain, N., Bhuiyan, M. N. H., Alam, S., Anisuzzaman, M., & Chowdhury, M. A. Q. (2022). Post-operative Outcome of Hughes Abdominal Repair and Conventional Continuous Closure of Midline Incision in Emergency Laparotomy. Journal of Surgical Sciences, 26(1), 42–48. https://doi.org/10.3329/jss.v26i1.86082

Issue

Vol. 26 No. 1 (2022)

Section

Original Articles

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