Mass closure of the abdominal wound with delayed absorbable suture in surgery for gynecologic cancer.
There has been a resurgence of interest recently in the optimal method of closure of the midline abdominal wound. The focus has been on the high-risk patient in particular. The controversy centers on interrupted versus continuous fascial closure and the choice of suture material. For three years on a gynecologic cancer service, running mass closure with delayed absorbable suture (Polyglactin) was used. Two hundred fifty-six patients were evaluable for analysis. The minimum follow-up time was two years. There was no wound dehiscence. Fourteen patients (5.5%) developed incisional hernias. The mass closure technique using delayed absorbable suture was effective in very-high-risk patients.
Hoffman
M S
MS
Department of Obstetrics and Gynecology, H. Lee Moffitt Cancer Center and Research Institute, University of South Florida College of Medicine, Tampa 33682-0179.
Villa
A
A
Roberts
W S
WS
Fiorica
J V
JV
LaPolla
J P
JP
Barton
D P
DP
Cavanagh
D
D
D005260:Female; D005500:Follow-Up Studies; D005833:Genital Neoplasms, Female / Q000601:surgery*; D006555:Hernia, Ventral / Q000453:epidemiology* / Q000209:etiology; D006801:Humans; D007813:Laparotomy; D008875:Middle Aged; D011098:Polyglactin 910 / Q000627:therapeutic use*; D011183:Postoperative Complications / Q000453:epidemiology* / Q000209:etiology; D013536:Suture Techniques / Q000009:adverse effects*; D013537:Sutures / Q000592:standards*
D011098:Polyglactin 910