BURST ABDOMEN: IS IT A PREVENTABLE COMPLICATION?

Aim: to evaluate the effectiveness of supporting plastic tubes technique (new technique) in prophylaxis against burst abdomen. Methods: a total of 140 patients, 76 patients undenoent emergency laparotomy and 64 undenoent elective laparotomy through midline laparotomy through a midline vertical incision. They were randomized to either mass closure alone or mass closure plus supporting plastic tube technique. All patients were consented. Results: There were 3 bursts out of 70 patients in the mass closure alone group (4.28% risk). while none of the patients in the supporting tubes group undenoent burst (0% risk).However, there were two cases in the later group developed incisional hernia in the late post-operative period. Conclusion: supporting plastic tubes method is a good prophylactic method against burst abdomen, not for incisional hernia, and it is advised to be used in all risky patients