Abstract
Introduction: Abdominal surgery is a typical medical system performed to address different gastrointestinal, gynecological, and urological conditions. Effective wound conclusion is of foremost significance to guarantee ideal post-usable recuperation and forestall possible complications.
Objectives: This study aims to compare the incidence of wound complications between small bites and large bites techniques in abdominal wound closure.
Material and methods: This comparative study was conducted at Bacha Khan Medical Complex, Swabi, over a period from october 2022 to october 2023.  A total of 210 patients were included in this study. The patients underwent abdominal surgeries and were randomly assigned to two groups: small bites closure group and large bites closure group. The small bites group received sutures with smaller bite intervals, while the large bites group received sutures with larger bite intervals. The primary outcome measure was the incidence of wound complications, including surgical site infections, wound dehiscence, and seroma formation. Results: Data were collected from 210 patients of both genders. Mean age of patients in group A is 52.3±8.6 years and in group B 50.9±7.9 years. There is 102 female patients and 108 male patients. Patients assign randomly in both groups, so 105 in group A and 105 in group B. During the post-operative period, wound assessments revealed a total of 20 patients (9.5%) in the small bites group experienced wound complications. Conclusion: It is concluded that there is no statistically significant difference in the overall incidence of wound complications, including wound dehiscence, wound infections, and delayed wound healing, between the two groups.
Keywords: Abdominal wound closure, small bites, large bites, wound complications, surgical site infection, wound dehiscence, seroma formation.