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Related Experiment Videos

Continuous absorbable vs interrupted nonabsorbable fascial closure. A prospective, randomized comparison.

P M McNeil, H J Sugerman

    Archives of Surgery (Chicago, Ill. : 1960)
    |July 1, 1986
    PubMed
    Summary

    Continuous, absorbable sutures for gastric surgery wound closure are as safe as nonabsorbable sutures. This method significantly reduces closure time, offering a more efficient surgical option.

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    Bariatric surgery for severe obesity.

    Journal of the Association for Academic Minority Physicians : the official publication of the Association for Academic Minority Physicians·2002

    Area of Science:

    • Surgical Innovation
    • Wound Healing
    • Bariatric Surgery

    Background:

    • Midline fascial closure is critical in gastric surgery for morbid obesity.
    • Comparing suture materials and techniques impacts patient outcomes and surgical efficiency.

    Purpose of the Study:

    • To compare continuous, absorbable polyglycolic acid sutures with interrupted, nonabsorbable stainless steel wire for midline fascial closure.
    • To evaluate wound complication rates and closure time between the two methods.

    Main Methods:

    • Prospective, randomized trial involving 105 patients undergoing gastric surgery for morbid obesity.
    • Sutures compared: continuous, coated polyglycolic acid (Dexon-Plus) vs. interrupted stainless steel wire.
    • Wound complication rates (dehiscence, incisional hernia) and closure times were recorded.

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    Main Results:

    • No significant difference in overall wound complication rates between polyglycolic acid and wire sutures.
    • Continuous polyglycolic acid closure was significantly faster (21 min) than interrupted wire closure (43 min).
    • Incisional hernia rates were comparable: 5/51 for polyglycolic acid and 5/54 for wire.

    Conclusions:

    • Continuous, absorbable polyglycolic acid suture closure is recommended for laparotomy wounds.
    • This method offers significant time savings without compromising wound integrity.
    • It presents an economical and efficient alternative to interrupted, nonabsorbable sutures.