Midline Abdominal Incisions: Mass Closure and Layered Closure

Abstract

The method and proper technique of closure of abdominal incisions during Laparotomy surgeries result in to good outcome in terms of pain, infection and healing which avoids complications like burst abdomen. This comparative study between mass closure and layered closure was done within 18 months at the Department of General Surgery, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Pimpri, Pune. In mass closure-the abdomen is closed using the single layer closure technique with all layers of the abdominal wall sutured in a single layer. In layered closure the peritoneum, linea alba and Skin closed separately with non absorbable sutures after keeping abdominal drains wherever found necessary. The study showed differences between the two procedures in terms of risks like infection, burst abdomen and later on incisional hernia.