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Dexon: an excellent suture for midline incisions.
Canadian Journal of Surgery. Journal Canadien De Chirurgie
|January 1, 1976
Summary
Interrupted 0 Dexon sutures with the Smead-Jones technique offer excellent midline incision closure. This method showed no disruptions or hernias, with minimal pain and infection in 93 patients over 18 months.
Area of Science:
- Surgical technique
- Wound closure
- Sutures
Background:
- Midline incisions are common surgical approaches.
- Effective wound closure is crucial for patient recovery and preventing complications.
- Traditional closure methods may have limitations.
Purpose of the Study:
- To evaluate the efficacy of interrupted 0 Dexon sutures using the Smead-Jones technique for midline incision closure.
- To assess complication rates including wound disruption, incisional hernias, and infection.
- To determine patient-reported outcomes such as incisional pain.
Main Methods:
- A prospective study involving 93 patients and 100 midline incisions closed over 18 months.
- Utilized interrupted 0 Dexon sutures with the Smead-Jones far-and-near stitch.
- Included a subgroup of 18 high-risk patients with potential for poor healing.
Main Results:
- No early wound disruptions or incisional hernias were observed during follow-up (5 days to 14 months).
- Four wound infections occurred, healing readily without prolonged drainage.
- Incisional pain was minimal across all patients.
- High-risk patients experienced no major wound complications beyond an acceptable infection rate.
Conclusions:
- Interrupted 0 Dexon sutures with wide fascial placement provide excellent and safe closure for midline incisions.
- The Smead-Jones technique is effective in preventing early disruptions and incisional hernias.
- This method is suitable even for patients with factors predisposing to poor wound healing.