Repair of the Midline Fascial Defect in Abdominoplasty With Long-Acting Barbed and Smooth Absorbable Sutures

摘要: Background: Traditionally, repair of the midline fascial defect has been performed with interrupted or running permanent sutures during abdominoplasty. Barbed suture devices, however, eliminate need for knot tying and potentially are equally effective at maintaining while allowing faster deployment elimination a potential nidus infection. Objective: The authors report their experience long-acting absorbable barbed smooth sutures. Methods: A retrospective chart review was conducted on 34 consecutive patients who underwent abdominoplasty, alone in conjunction other procedures, between August 2006 December 2009. Seventeen had abdominal wall rectus diastasis polydioxanone suture, 17 suture. Results: All were women; mean age 43.6 years, body mass index 23.0 kg/m2. Sixty-eight percent elected to undergo concurrent procedures. Patients followed months (27 barbed; 42 smooth). No cases recurrent observed. Complications included minor seroma (two group, one group) infected hematoma (one group). Conclusions: Based data from this series patients, appear be repair. therefore hold promise as useful alternative plication fascia