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Comparison Between Subcutaneous Tissue Closure V/S Nonclosure in Elective Surgery

Tushar Patel , Amrish P Mehta1 , Tushar Patel2 , Suhan Khamar3

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New Indian Journal of Surgery 12(3):p 139-145, July-September 2021. | DOI: https://dx.doi.org/10.21088/nijs.0976.4747.12321.3

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Amrish P Mehta, Tushar Patel, Suhan Khamar/Comparison Between Subcutaneous Tissue V/S Nonclosure in Elective Surgery/New Indian J Surg. 2021;12(3):139–145.

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Received : N/A         Accepted : N/A          Published : N/A

Abstract

Background and Objectives: Postoperative wound complication are one of the greatest issues in elective surgeries. Obesity, operative time, diabetes, age of the patient, anemia, associated infection and reduced nutrition are recognized risk factors for wound infections. With the seek to avoid wound infection, many research studies were performed and assessed the infuence of subcutaneous tissue closure in the past 20 years suturing of subcutaneous tissue, the anatomy of the fragile subcutaneous tissue layer is imperfect and suturing leads to a decrease in perfusion to the fatty layer thereby compromising the blood supply to the subcutaneous layer leading to fat necrosis. This study was under taken to study the various post-operative complications in elective surgery like ventral hernia, inguinal hernia and modified radical mastectomy closed with or without subcutaneous closure. Materials and Methods: This study was undertaken from December 2018 to December 2020 in the department of General Surgery, Shree M. P. Shah Govt. Medical College and G.G. Govt. Hospital, Jamnagar. After completing major operative steps subcutaneous suturing using 2-0 polyglactin was done in 54 patients and subcutaneous suturing was not done in 46 patients. Total number of patients–100.

Keywords: Subcutaneous Tissue Closure; Elective Surgery; anemia; Ventral hernia.

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Amrish P Mehta, Tushar Patel, Suhan Khamar/Comparison Between Subcutaneous Tissue V/S Nonclosure in Elective Surgery/New Indian J Surg. 2021;12(3):139–145.

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.12321.3

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