Study of Role of Suture Material in Development of Wound Dehiscence and Burst Abdomen
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 9
Abstract
In this study we evaluated the role of different suture material in development of wound dehience and burst abdomen with different technique of closure like continuous/interrupted type. In our study which was carried out at KEM hospital , Pune of duration of 1 year , we have evaluated 60 cases operated in emergency and elective setting at our hospital selected ramdomly. All cases opened through midline incision and closed with absorbable/nonabsorbable suture material with interrupted and continuous type of suture. This study is a prospective randomized trial comparing the interrupted and continuous method of closure of abdominal wall fascia using both absorbable and non-absorbable suture materials. Wound dehiscence rates are 10% for continuous and 6.6% for interrupted group. Wound dehiscence rates are same for PP/PD at 5% and in PG is high of 15% as PG rapidly absorbable so incidence of dehiscence is higher as compared with two other group. So PG group of suture material should be supplemented with other suture material like PP/PD for closure of abdomen incision . Most of other studies concluded non absorbable continuous like PP is preferred suture material for abdominal wound closure after that partially absorbable PD are preferred in continuous form. But in our study interrupted PP and PD are better as compared continuous type. One thing is common in both study group is PG group of sutures alone should not be used as it will lead to rapid absorption of suture material due to short half life so suture tend to lose the strength early leading to development of dehiscence and burst abdomen. So PG group of sutures alone should not be used for abdominal closure primarily, but whenever PG group material is used it should be supplemented with other suture material like PP or PD. Keywords: Wound dehiscence, abdominal wound, sutures
Authors and Affiliations
Dr Rajesh Nandkishore Shukla
Keywords
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