A Prospective Randomized Study Comparing Non-absorbable Polypropylene (Prolene (R)) and Delayed Absorbable Polyglactin 910 (Vicryl (R)) Suture Material in Mass Closure of Vertical Laparotomy Wounds

作者：Pandey Sharad^*; Singh Mohinder; Singh Kuldip; Sandhu Sartaj

来源：Indian Journal of Surgery, 2013, 75(4): 306-310.

DOI：10.1007/s12262-012-0492-x

• Wound dehiscence
• Mass closure
• Vertical laparotomy wounds
• Polypropylene
• Polyglactin

Wound dehiscence is a postoperative complication encountered following abdominal surgery. A prospective randomized study was conducted to compare the incidence of wound dehiscence with a delayed absorbable and a nonabsorbable suture material in the mass closure of vertical laparotomy wounds. In one group, 100 patients were analyzed after closure with Prolene (R), and in another group, 100 patients were analyzed after closure with Vicryl (R). The incision was closed by continuous far and near suture technique using polypropylene (Prolene) suture in one group and a synthetic delayed absorbable polyglactin 910 (Vicryl) suture in the other group. There was significant difference in the incidence of wound dehiscence between the two groups: 6 % with Prolene and 17 % with Vicryl, (chi(2) = 05.944, 1 DF, P value = 0.0148). The overall incidence of wound dehiscence was 11.5 % in this study. The incidence of wound dehiscence in both the study groups was higher than expected as compared to previous literature. There was a significant difference between the two suture materials. In our study, Prolene is a better suture material for closure of vertical laparotomy wounds.

• 出版日期2013-8