Controlled clinical trial of three suture materials for abdominal wall closure after bowl operations.
One hundred sixty-one consecutive patients who underwent bowel procedures were randomly assigned a nonabsorbable multifilament suture material, a nonabsorbable monofilament suture material or a long-term absorbable suture material for abdominal closure. All patients had midline incisions; closure was by an interrupted single layer technique. Patients were evaluated 1 month, 6 months and 1 year after operation. No statistically significant difference was seen in the incidence of wound infection in these groups. By 1 year, six patients had incisional hernias, none in the long-term absorbable suture group. The absence of suture sinus formation and the failure to demonstrate an increased incidence of wound dehiscence or incisional hernia imply that long-term absorbable suture material may be the most appropriate choice after bowel operations.
D000009:Abdominal Muscles / Q000601:surgery*; D000328:Adult; D000368:Aged; D002986:Clinical Trials as Topic; D003107:Colorectal Surgery / Q000295:instrumentation; D005260:Female; D006555:Hernia, Ventral / Q000453:epidemiology; D006801:Humans; D007422:Intestines / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009757:Nylons / Q000009:adverse effects; D010969:Plastics; D011098:Polyglactin 910 / Q000009:adverse effects; D011108:Polymers; D011126:Polypropylenes / Q000009:adverse effects; D011897:Random Allocation; D013529:Surgical Wound Dehiscence / Q000453:epidemiology; D013530:Surgical Wound Infection / Q000453:epidemiology; D013536:Suture Techniques / Q000295:instrumentation; D013537:Sutures
D009757:Nylons; D010969:Plastics; D011108:Polymers; D011126:Polypropylenes; D011098:Polyglactin 910