Polydioxanone Sutures Instead of Polypropylene Sutures for Abdominal Closure to Prevent Wound Sinuses
Keywords:abdominal closure, wound sinus, abdominal incision, polydioxanone, incisional hernia.
Abdominal closure after laparotomy takes several weeks to get 80% of its previous strength in this period
the fascial sheath should be hold by sutures. Several materials used in the abdominal closures but the most
common suture used is polypropylene, others used nylon, less common used is absorbable sutures but wound
sinus is a complication may fellow the use of non-absorbable sutures. For two years we collect 235 patients
in all of them abdominal wall incision was Pfannenstiel, in 133 patients the incision closed by polypropylene
(non-absorbable), for other 102 patients the incision closed by polydioxanone (slow absorbable) the result
was significant for wound sinus formation in polypropylene group but insignificant for hernia, conclusion
of the study the polydioxanone look the same strength of polypropylene and may be without wound sinus
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