A Prospective Randomised Study of Comparative Analysis of Conventional Simple Closure of Abdomen Versus Mesh Zipper Technique Closure In Exploratory Laparotomy for Peritonitis

The concept of "open abdomen" particularly in patients with delayed generalized peritonitis, where closure is difficult and may precipitate abdominal compartment syndrome, has been reviewed in many articles recently. Since most arguments still support the effectiveness of this method and the results have been mostly favourable, we had compared the results of mesh-zipper laparostomy with conventional closure of abdominal wall. Patients with poor general condition with high APACHE II score and when closure of abdominal wall was difficult especially if it was leading to raised intra abdominal tension, were included in mesh zipper technique group. In these patients commercial zippers with mesh were used on all. We analyzed 28 patients of peritonitis, divided in two different groups of 14 each.