Interrupted Abdominal Fascial Closure: Comparison of Nonabsorbable (Polyamide) Versus Delayed Absorbable (Polydioxanone) Sutures Used in Cases of Peritonitis
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 2
Abstract
Background: The suture material used plays a significant role in the healing of laparotomy wounds. Despite progress in the techniques of surgery, there is still a lot of controversy about selection of the best technique and suture material for rectus sheath repair in cases of peritonitis. Current study was done using interrupted technique to compare non-absorbable (POLYAMIDE) sutures and delayed absorbable (POLYDIOXANONE) sutures for abdominal fascial closure in cases of peritonitis. Material and Methods: The study was conducted in sixty patients of peritonitis divided into two groups (A and B). Group A consisted of 30 patients who had undergone interrupted closure of abdominal fascia with polyamide (Nylon) No. 1 suture, and Group B comprised of 30 patients who had undergone interrupted closure of abdominal fascia using polydioxanone (PDS) No.1 suture. The wound was inspected postoperatively for the development of wound complications like wound infection, wound pain, sinus formation, wound dehiscence and incisional hernia. Results: Wound infection rate was found to be (6/30) 20% in Nylon group as compared to (7/30) 23.3% in PDS group. However, this difference was found to be statistically insignificant because of the fact that both the sutures were monofilament used in our study. Wound pain rate was found to be (7/30) 23.3% in Nylon group as compared to (2/30) 6.7% in PDS group (p value – 0.1481). Suture sinus rate was found to be (3/30)10% in Nylon group as compared to (0/30) 0% in PDS group (p value – 0.2361). Evaluating patients in two groups, wound dehiscence and incisional hernia has not occurred in any of the groups. Conclusion: The present study demonstrated an advantage of delayed absorbable (POLYDIOXANONE) suture over non-absorbable (POLYAMIDE) because it is comparable to non-absorbable suture in terms of wound dehiscence and incisional hernia with much less incidence of wound pain and sinus formation.
Authors and Affiliations
Madhusudan Patodia, Paras Kumar Pandove, Ashwani Kumar, Vijay Kumar Sharda
Keywords
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- EP ID EP543660
- DOI 10.21276/ijmrp.2017.3.2.011
- Views 52
- Downloads 0
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