Healing time of incision infection after hepatobiliary surgery treated by needle-free incision suture closure.
OBJECTIVE
To compare the effectiveness of needle-free incision suture closure with butterfly tape and traditional secondary suturing techniques in treating incision infection.


METHODS
Two hundred and twenty-three patients with incision infection following hepatobiliary surgery at a tertiary hospital were randomly divided into three groups: 90 patients were closed by needle-free incision suture closure, which gradually closed the incision wound when drainage from incision infection was visibly decreased and healthy granulation tissues had grown; 79 patients were closed by butterfly bandage; another 54 patients were closed by traditional secondary suturing technique. Healing time of incision infection was calculated from the beginning of dressing change to the healing of the incision.


RESULTS
Healing time in the needle-free incision suture closure group (24.2 ± 7.2 d) was significantly shorter than that in the butterfly bandage group (33.3 ± 11.2 d) and the traditional secondary suturing group (36.2 ± 15.3 d) (P < 0.05). Healing time in the butterfly bandage group appeared to be slightly shorter than that in the secondary suture group, but the difference was not statistically significant (P > 0.05).


CONCLUSIONS
Needle-free incision suture closure could gradually close the infection wound at the same time of drainage and dressing change, thereby shortening the healing time.
Wen-Jie Ma, Yong Zhou, Rui-Hua Xu, Anuj Shrestha, Fu-Yu Li, Alex Lorance, Qin Yang, Yong-Qiong Zhang, Ting Jiang, Huan Feng, Nan-Sheng Cheng, Department of Hepatobiliary Surgery, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
Wen-Jie
WJ
Ma
Wen-Jie Ma, Yong Zhou, Rui-Hua Xu, Anuj Shrestha, Fu-Yu Li, Alex Lorance, Qin Yang, Yong-Qiong Zhang, Ting Jiang, Huan Feng, Nan-Sheng Cheng, Department of Hepatobiliary Surgery, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
Yong
Y
Zhou
Wen-Jie Ma, Yong Zhou, Rui-Hua Xu, Anuj Shrestha, Fu-Yu Li, Alex Lorance, Qin Yang, Yong-Qiong Zhang, Ting Jiang, Huan Feng, Nan-Sheng Cheng, Department of Hepatobiliary Surgery, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
Hui
H
Mao
Wen-Jie Ma, Yong Zhou, Rui-Hua Xu, Anuj Shrestha, Fu-Yu Li, Alex Lorance, Qin Yang, Yong-Qiong Zhang, Ting Jiang, Huan Feng, Nan-Sheng Cheng, Department of Hepatobiliary Surgery, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
Rui-Hua
RH
Xu
Wen-Jie Ma, Yong Zhou, Rui-Hua Xu, Anuj Shrestha, Fu-Yu Li, Alex Lorance, Qin Yang, Yong-Qiong Zhang, Ting Jiang, Huan Feng, Nan-Sheng Cheng, Department of Hepatobiliary Surgery, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
Anuj
A
Shrestha
Wen-Jie Ma, Yong Zhou, Rui-Hua Xu, Anuj Shrestha, Fu-Yu Li, Alex Lorance, Qin Yang, Yong-Qiong Zhang, Ting Jiang, Huan Feng, Nan-Sheng Cheng, Department of Hepatobiliary Surgery, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
Fu-Yu
FY
Li
Wen-Jie Ma, Yong Zhou, Rui-Hua Xu, Anuj Shrestha, Fu-Yu Li, Alex Lorance, Qin Yang, Yong-Qiong Zhang, Ting Jiang, Huan Feng, Nan-Sheng Cheng, Department of Hepatobiliary Surgery, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
Alex
A
Lorance
Wen-Jie Ma, Yong Zhou, Rui-Hua Xu, Anuj Shrestha, Fu-Yu Li, Alex Lorance, Qin Yang, Yong-Qiong Zhang, Ting Jiang, Huan Feng, Nan-Sheng Cheng, Department of Hepatobiliary Surgery, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
Qin
Q
Yang
Wen-Jie Ma, Yong Zhou, Rui-Hua Xu, Anuj Shrestha, Fu-Yu Li, Alex Lorance, Qin Yang, Yong-Qiong Zhang, Ting Jiang, Huan Feng, Nan-Sheng Cheng, Department of Hepatobiliary Surgery, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
Yong-Qiong
YQ
Zhang
Wen-Jie Ma, Yong Zhou, Rui-Hua Xu, Anuj Shrestha, Fu-Yu Li, Alex Lorance, Qin Yang, Yong-Qiong Zhang, Ting Jiang, Huan Feng, Nan-Sheng Cheng, Department of Hepatobiliary Surgery, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
Ting
T
Jiang
Wen-Jie Ma, Yong Zhou, Rui-Hua Xu, Anuj Shrestha, Fu-Yu Li, Alex Lorance, Qin Yang, Yong-Qiong Zhang, Ting Jiang, Huan Feng, Nan-Sheng Cheng, Department of Hepatobiliary Surgery, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
Huan
H
Feng
Wen-Jie Ma, Yong Zhou, Rui-Hua Xu, Anuj Shrestha, Fu-Yu Li, Alex Lorance, Qin Yang, Yong-Qiong Zhang, Ting Jiang, Huan Feng, Nan-Sheng Cheng, Department of Hepatobiliary Surgery, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
Wei
W
Zhang
Wen-Jie Ma, Yong Zhou, Rui-Hua Xu, Anuj Shrestha, Fu-Yu Li, Alex Lorance, Qin Yang, Yong-Qiong Zhang, Ting Jiang, Huan Feng, Nan-Sheng Cheng, Department of Hepatobiliary Surgery, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
Nan-Sheng
NS
Cheng
D000328:Adult; D000368:Aged; D001458:Bandages; D001662:Biliary Tract Surgical Procedures / Q000009:adverse effects*; D002681:China; D004322:Drainage; D005260:Female; D006801:Humans; D008099:Liver / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D013536:Suture Techniques / Q000009:adverse effects / Q000295:instrumentation; D013537:Sutures; D062606:Tertiary Care Centers; D013997:Time Factors; D016896:Treatment Outcome; D014945:Wound Healing; D055815:Young Adult
Drainage; Hepatobiliary surgery; Incision infection; Needle-free incision suture closure; Secondary suture; Wound healing