Suture Length To Wound Length Ratio For Healing and Occurrence of Incisional Hernia of Midline Laparotomy Incisions

Abstract

Introduction- Incisional hernia increases the length of hospital stay, readmission, future surgery, delayed adjuvant treatment, suboptimal esthetic outcome, and impaired psychosocial well-being. Methodology- Prospective Comparison Type of Study with Sample size of 110 and Sampling technique used was Convenient Sampling. All patients undergoing abdominal procedure through a midline incision, older than 18 years and with Elective and Emergency laparotomy surgeries operated for Intra-abdominal pathology were included in the study while subjects with mentally incapable of giving consent, who have undergone multiple abdominal surgeries and patients who had an incisional hernia after previous midline operation. Quantitative variables like age, mean length of incision will be analyzed and presented using mean and SD. Chi square test or Fisher's exact test was used. Results- Mean age was comparable in between both groups. Comparison of patients based on ASA among Group A and B calculated using chi square test, p=0.01, which is <0.05 which shows statistical Significant difference between ASA Score among Group A and B. Suture material used among Group A and B by Unpaired t- test, p=0.07, which is >0.05 which shows no Statistical Significant difference. Conclusion- The suture length to wound length ratio depends on the size of tissue bites, the distance between bites and the tension on the suture.