A Comparative Study Between Continuous and Interrupted Suturing for Abdominal Wound Closure in Exploratory Laparotomy

Siddhant Sarawat, Mansi Modi, Madhubala Gaur, Arun Kumar, Bhaskar Kumar

Abstract: An essential surgical technique that is frequently used to treat a variety of abdominal disorders and for diagnostic purposes is exploratory laparotomy. Closing abdominal wounds properly is essential to reducing complications and fostering the best possible recovery. These include the type of suture, whether continuous or interrupted; choosing one over the other affects both the immediate surgical outcome and long-term issues such as wound dehiscence, infections, and hernias at the location of the incision. Aim and Objective: The primary aim of this study was to compare the continuous and interrupted suturing techniques for abdominal wound closure following exploratory laparotomy. The study focused on the objective to compare the intra-operative suture length used and the time taken for closure in continuous and interrupted suturing techniques. Methodology: This prospective interventional study was conducted on 72 patients undergoing emergency exploratory laparotomy at GS Medical College and Hospital, Pilkhuwa. Two groups of 36 patients each were randomly assigned to undergo continuous or interrupted sutures. Suture length and closure time were evaluated as intraoperative parameters. Chi-square tests, t-tests, and p-values were used in the statistical analysis to determine significance. Results: This research concluded that with the use of continuous suturing method the closure time was less than the interrupted suturing method and the total amount of suture material used also less. The width of the scars was also greater in the continuous suturing group, and also patients who had wound dehiscence, 77.7 % of the continuous suturing group as compared to the interrupted suturing group 22.2 %. Conclusion: Continuous and interrupted suturing techniques each have their own advantages and are chosen based on surgical needs. Continuous suturing saves time and materials, especially in emergencies, while interrupted suturing offers better long-term outcomes like reduced wound rupture and smaller scars. Clinicians should consider factors such as urgency, aesthetics, and complication risks when selecting the appropriate technique.

Keywords: Continuous method, Interrupted method, Wound dehiscence, Wound infection, Surgery

How to Cite?: Siddhant Sarawat, Mansi Modi, Madhubala Gaur, Arun Kumar, Bhaskar Kumar, "A Comparative Study Between Continuous and Interrupted Suturing for Abdominal Wound Closure in Exploratory Laparotomy", Volume 14 Issue 7, July 2025, International Journal of Science and Research (IJSR), Pages: 1893-1899, https://www.ijsr.net/getabstract.php?paperid=SR25726172706, DOI: https://dx.doi.org/10.21275/SR25726172706