title: Comparison of sutured versus non-sutured subcutaneous fat tissue in abdominal surgery. A prospective randomized study.
abstract: OBJECTIVE
  The aim of this prospective randomized study was to investigate the necessity of suturing subcutaneous fat tissue in elective abdominal surgery.
  
  
  METHODS
  415 patients undergoing elective abdominal surgery were admitted to the trial. The patients were divided into two basic groups according to wound contamination: clean operations (n = 201) and clean-contaminated operation (n = 214). Subcutaneous suturing of the subcutaneous fat tissue was performed in half of the patients in each group, determined using the envelope method ('Suture Yes' or 'Suture No'). Wounds were checked on postoperative days 3, 7, 14, and 30. Infectious and non-infectious wound complications were charted in the records. Data were statistically analyzed. The percentages of complications in groups with and without subcutaneous suturing were statistically compared using Yates' corrected chi(2) two-tailed test.
  
  
  RESULTS
  There were no statistically significant group differences in infectious and non-infectious wound complications.
  
  
  CONCLUSIONS
  These results suggest that omission of subcutaneous fat tissue suturing does not increase the occurrence of infectious or non-infectious wound complications.
authors.affiliation: Department of Field Surgery, Faculty of Military Health Sciences, University of Defence, Hradec Králové, Czech Republic. jiri.paral@seznam.cz
authors.forename: J
authors.initials: J
authors.lastname: Paral
authors.forename: A
authors.initials: A
authors.lastname: Ferko
authors.forename: J
authors.initials: J
authors.lastname: Varga
authors.forename: F
authors.initials: F
authors.lastname: Antos
authors.forename: M
authors.initials: M
authors.lastname: Plodr
authors.forename: P
authors.initials: P
authors.lastname: Lochman
authors.forename: Z
authors.initials: Z
authors.lastname: Subrt
mesh_terms: D034861:Abdominal Wall / Q000601:surgery*; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D050151:Subcutaneous Fat / Q000601:surgery*; D013530:Surgical Wound Infection / Q000209:etiology; D013536:Suture Techniques / Q000009:adverse effects; D014945:Wound Healing