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Single versus two layer suturing for wound closure after inguinal hernia repair
E A Agbakwuru1, J K Olabanji, O I Alatise
1Department of Surgery, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
Nigerian Journal of Clinical Practice
|September 22, 2009
Summary
Single-layer wound closure after inguinal hernia repair is as effective as two-layer closure. This method saves medical personnel time without compromising wound healing or scar appearance.
Area of Science:
- Surgical techniques
- Wound healing
- Hernia repair
Background:
- The method of skin-subcutaneous closure following inguinal herniorrhaphy can influence operative time and immediate wound outcomes.
- Conventional two-layer closure is standard practice.
Purpose of the Study:
- To compare the effects of single-layer versus conventional two-layer skin-subcutaneous closure in inguinal herniorrhaphy.
- To assess the impact on operation time and wound outcomes.
Main Methods:
- Prospective randomized controlled trial conducted at Obafemi Awolowo University Teaching Hospital, Nigeria.
- Adult patients with uncomplicated inguinal hernias were randomized into two groups: single-layer closure and two-layer closure.
- Operation duration and wound complications were documented.
Main Results:
- 180 wounds in 160 patients were analyzed (93 in two-layer group, 87 in single-layer group).
- No significant difference was observed in wound healing or scar appearance between the groups.
- Single-layer closure was significantly quicker (P=0.006).
Conclusions:
- Immediate wound outcomes were similar for both single-layer and two-layer closure methods.
- Single-layer closure offers a time-saving advantage for medical personnel.
