[Continuous suture in laparotomy using an absorbable eyelet thread according to the Smead Jones technique]
Minerva Chirurgica
|July 1, 1994
Summary
Smead Jones
Area of Science:
- Surgical innovation in abdominal wound closure.
Context:
- Laparotomy procedures necessitate reliable wound closure techniques to minimize complications.
- Traditional suturing methods can be associated with issues like infection and dehiscence.
Purpose:
- To evaluate the safety and effectiveness of a continuous, knot-free suturing technique using absorbable polyglyconate (Maxon) thread in laparotomy closures.
Summary:
- A prospective study assessed 78 patients using the Smead Jones technique with Maxon thread.
- Results showed 98% full wound healing, with less than 2% experiencing complications like infection or dehiscence.
- No incisional hernias (laparocele) were observed, indicating high reliability.
Impact:
- The Smead Jones technique with Maxon thread offers a safe and effective method for abdominal wound closure.
- This technique demonstrates a significant reduction in wound complications, improving patient outcomes.
- Further long-term follow-up is recommended to solidify these findings.


