Perception and Attitude about Laparotomy Wound Closure among Thai Surgeons: A Survey Study

Fascia closure survey

  • Thanita Akethanin Makarak Hospital, Kanchanaburi, Thailand
  • Hathaiwan Moungthard Department of Surgery, National Cancer Institute, Bangkok, Thailand
  • Suphakarn Techapongsatorn Department of Surgery, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand
  • Amarit Tansawet Department of Surgery, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand
Keywords: Laparotomy closure, Small bites suture, Mesh augmentation, Perception and Attitude.

Abstract

Background: The guideline on laparotomy wound closure recommends appropriate fascia closure techniques; however, the perception and attitude of Thai surgeons about laparotomy wound closure have never been explored.

Objective: To assess the perception and attitude of Thai surgeons regarding laparotomy wound closure

Materials and Methods: A survey of 55 persons was conducted during a virtual hernia conference. A series of questions was asked and responses were retrieved. A descriptive analysis was subsequently performed.

Results: Of all the respondents, 50%–75% complied with recommendations in the guideline on abdominal wall closure. Non-compliance was primarily because of unfamiliarity. Mesh augmentation was not implemented in most of the respondents’ practice because of mesh-related complications, unfamiliarity, and reimbursement concerns.

Conclusions: The guideline recommendation and real-life practice in the Thai surgery service differ to some extent.

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Published
2021-02-03
How to Cite
Akethanin, T., Moungthard, H., Techapongsatorn, S., & Tansawet, A. (2021). Perception and Attitude about Laparotomy Wound Closure among Thai Surgeons: A Survey Study: Fascia closure survey. Journal of the Association of General Surgeons of Thailand under the Royal of Patronage of HM the King , 5(2), 3-11. Retrieved from https://he02.tci-thaijo.org/index.php/agstjournal/article/view/247812