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  3. 1. Postoperative Wound Infection After Midline Abdominal Incisions
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1. Postoperative Wound Infection After Midline Abdominal Incisions

1. Afzal Siddique 2. Malik Asrar Ahmed

1. Senior Registrar of Surgery, 2. Asstt. Prof. of Surgery, Poonch Medical College,  Rawlakot, Azad Jammu & Kashmir


Objectives: The objective of this study was to compare postoperative wound infection rate after abdominal closure with Polydioxanone and prolene for midline incisions.

Study Design: Randomized control trial

Place and Duration of Study: This study was conducted at the department of Surgery Sheikh Khalifa Bin Zaid Hospital Rawlakot Azad Kashmir from 09-05-2013 to 28-05-2015.

Materials and Methods: Total of 106 patients undergoing elective and emergency laparotomies. In this randomized control trial conducted at Sheikh Khalifa Bin Zaid Al Nahyan Hospital Rawlakot Azad Kashmir Department Of Surgery, we studied 106 patients for midline closure of abdominal surgery. We made two groups (Group A consisted patients who underwent abdominal closure with Polydioxanone no. 1 and Group B contained patients who underwent closure with Prolene no.  1). The outcome variable was  wound infection. 

Results: The average age of 106 patients was 36.88 ± 13.28 years with range of 49 years. Statistically the post operative wound infection was present in 25 (23.6%) patients, in which 7 (6.6%) were from group A and 18 (18%) were from group B. The percentage of wound infection was statically higher in group B as compared to group A (pvalue < 0.05). 

Conclusion: Polydioxanone is inert in tissues if we compare it with other absorbable materials. According to our experience, Polydioxanone causes less wound infection as compared to Prolene in midline abdominal wound closure. 

Key Words: Abdominal closures, Midline surgery and wound infection

Citation of article: Siddique A, Ahmed MA. Postoperative Wound Infection After Midline Abdominal

Incisions. Med Forum 2015;26(11):2-5.