A Randomized Clinical Trial Comparing Two Methods of Fascia Closure Following Midline Laparotomy

摘要: • Three hundred forty women undergoing midline laparotomy were randomized into an interrupted suture (polyglactin 910, size 1) or a continuous (polyglyconate, 0) closure group. The two groups well balanced with respect to various risk factors for postoperative wound complications. Early evaluation revealed no differences between the and infection (3% vs 1 %), superficial dehiscence (2% 4%), deep (0.6% 0%). Late showed either. Continuous polyglyconate polyglactin 910 sutures had similar incidence of fistula (0% 2%), pain (1% incisional hernia 4%). was done faster resulted in less foreign-body material. Despite its smaller diameter, also retains higher tensile strength after surgery than does quicker-degrading suture. Results this study lead conclusion that running is better choice abdominal-wall fascia following laparotomy. ( Arch Surg . 1992;127:1232-1234)