Compared study between one-layer continuous suturing and layer-layer intermittent suturing on closure of abdominal midline incision

Objective: To discuss the technique used in abdominal closure with new material. Methods: By comparing 95 cases using single-layer closed technique to stitch peritoneum and lineea alba together with #0 ETHICON loop late absorbed by continuous manner to 75 same-term cases using layered closure technique with silk suture by intermittent manner, the clinical data were collected and analyzed, then the review was made. Results: The single layer closure group: there were no patients suffered peritoneum dehiscence when closing the abdomen, there were no postoperative complications such as wound dehiscence, peritoneum dehiscence and bowel obstruction, incisional hernia etc. There were 5 patients suffered subcutaneous fat liquefy dropsy or wound infection. The layered closure group: there were 10 patients suffered peritoneum dehiscence when closing the abdomen. Bowel obstruction in 1 case. Dehiscence of abdomen wound in 1 cases, 8 patients suffered subcutaneous fat liquefy or dropsy, incisional hernia in 1 patient. Conclusion: This technique is an easy and rapid procedure with less complications, it can deal with some difficult cases in operating such as peritoneum dehiscence, difficult abdomen closure prolonged operative time and etc. It was a favorable choose when performing surgery in the obese, seriously ill or critical patient or the patient who has poor narcotic effect or abdominal muscular tension.