title: Mass Continuous Suture versus Layered Interrupted Suture in Transverse Abdominal Incision Closure after Liver Resection.
abstract: Abdominal incision closure technique seriously influences patient prognosis. Most studies have focused on the different suture techniques and materials on midline incision, while little data are available in wide transverse or oblique incisions after liver resection (LR). The aim of the present study is to compare the two major incision suture methods after LR in our institute: Mass continuous suture (group P) and layered interrupted suture (group S).
  
  
  
  258 patients undergoing LR with abdominal transverse or oblique incisions were prospectively enrolled. They were divided into two groups according to different abdominal incision suture methods and compared with the preoperative, intraoperative parameters, and postoperative wound complications.
  
  
  
  There were 118 patients in group P and 140 patients in group S, which was similar in general condition, primary disease, liver, and renal function. Incision length, total operation time, intraoperative blood loss, or perioperative antibiotics use were not different between the two groups. However, abdominal incision closure time and interval time for stitches removing after operation was significantly shorter in group P than group S (both p < 0.001). After a median follow-up of 16 months, the incidence of wound infection and fat liquefaction was more than two times higher in group S than group P, which, however, was not statistically different. Moreover, there was no difference in wound disruption or incisional hernia between the two groups.
  
  
  
  Although similar in occurrence of postoperative wound complications, mass continuous suture with polydioxanone seemed to be more timesaving in incision closure and motivated in wound healing.
authors.affiliation: Department of Hepatobiliary Surgery, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.|Institute of Advanced Surgical Technology and Engineering, The First Affiliated Hospital of Medical College, Xi'an Jiaotong University, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.|Shaanxi Provincial Regenerative Medicine and Surgical Engineering Research Center, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.
authors.forename: Jing
authors.initials: J
authors.lastname: Zhang
authors.affiliation: Department of Hepatobiliary Surgery, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.|Institute of Advanced Surgical Technology and Engineering, The First Affiliated Hospital of Medical College, Xi'an Jiaotong University, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.|Shaanxi Provincial Regenerative Medicine and Surgical Engineering Research Center, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.
authors.forename: Hong-Ke
authors.initials: HK
authors.lastname: Zhang
authors.affiliation: Department of Hepatobiliary Surgery, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.|Institute of Advanced Surgical Technology and Engineering, The First Affiliated Hospital of Medical College, Xi'an Jiaotong University, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.|Shaanxi Provincial Regenerative Medicine and Surgical Engineering Research Center, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.
authors.forename: Hao-Yang
authors.initials: HY
authors.lastname: Zhu
authors.affiliation: Department of Hepatobiliary Surgery, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.|Institute of Advanced Surgical Technology and Engineering, The First Affiliated Hospital of Medical College, Xi'an Jiaotong University, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.|Shaanxi Provincial Regenerative Medicine and Surgical Engineering Research Center, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.
authors.forename: Jian-Wen
authors.initials: JW
authors.lastname: Lu
authors.affiliation: Department of Hepatobiliary Surgery, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.|Institute of Advanced Surgical Technology and Engineering, The First Affiliated Hospital of Medical College, Xi'an Jiaotong University, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.|Shaanxi Provincial Regenerative Medicine and Surgical Engineering Research Center, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.
authors.forename: Qiang
authors.initials: Q
authors.lastname: Lu
authors.affiliation: Department of Hepatobiliary Surgery, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.|Institute of Advanced Surgical Technology and Engineering, The First Affiliated Hospital of Medical College, Xi'an Jiaotong University, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.|Shaanxi Provincial Regenerative Medicine and Surgical Engineering Research Center, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.
authors.forename: Yi-Fan
authors.initials: YF
authors.lastname: Ren
authors.affiliation: Department of Hepatobiliary Surgery, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.|Institute of Advanced Surgical Technology and Engineering, The First Affiliated Hospital of Medical College, Xi'an Jiaotong University, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.|Shaanxi Provincial Regenerative Medicine and Surgical Engineering Research Center, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.
authors.forename: Chang
authors.initials: C
authors.lastname: Liu
authors.affiliation: Department of Hepatobiliary Surgery, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.|Institute of Advanced Surgical Technology and Engineering, The First Affiliated Hospital of Medical College, Xi'an Jiaotong University, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.|Shaanxi Provincial Regenerative Medicine and Surgical Engineering Research Center, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.
authors.forename: Jian
authors.initials: J
authors.lastname: Dong
authors.affiliation: Department of Hepatobiliary Surgery, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.|Institute of Advanced Surgical Technology and Engineering, The First Affiliated Hospital of Medical College, Xi'an Jiaotong University, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.|Shaanxi Provincial Regenerative Medicine and Surgical Engineering Research Center, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.
authors.forename: Zhao-Qing
authors.initials: ZQ
authors.lastname: Du
authors.affiliation: Department of Hepatobiliary Surgery, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.|Institute of Advanced Surgical Technology and Engineering, The First Affiliated Hospital of Medical College, Xi'an Jiaotong University, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.|Shaanxi Provincial Regenerative Medicine and Surgical Engineering Research Center, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.
authors.forename: Xue-Min
authors.initials: XM
authors.lastname: Liu
authors.affiliation: Department of Hepatobiliary Surgery, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.|Institute of Advanced Surgical Technology and Engineering, The First Affiliated Hospital of Medical College, Xi'an Jiaotong University, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.|Shaanxi Provincial Regenerative Medicine and Surgical Engineering Research Center, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China.
authors.forename: Zheng
authors.initials: Z
authors.lastname: Wu
authors.affiliation: Department of Hepatobiliary Surgery, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China. luyi169@126.com.|Institute of Advanced Surgical Technology and Engineering, The First Affiliated Hospital of Medical College, Xi'an Jiaotong University, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China. luyi169@126.com.|Shaanxi Provincial Regenerative Medicine and Surgical Engineering Research Center, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China. luyi169@126.com.
authors.forename: Yi
authors.initials: Y
authors.lastname: Lv
authors.affiliation: Department of Hepatobiliary Surgery, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China. xfzhang125@126.com.|Institute of Advanced Surgical Technology and Engineering, The First Affiliated Hospital of Medical College, Xi'an Jiaotong University, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China. xfzhang125@126.com.|Shaanxi Provincial Regenerative Medicine and Surgical Engineering Research Center, No. 277 West Yan-ta Road, Xi'an, 710061, Shaanxi, People's Republic of China. xfzhang125@126.com.
authors.forename: Xu-Feng
authors.initials: XF
authors.lastname: Zhang
mesh_terms: D058107:Abdominal Wound Closure Techniques / Q000009:adverse effects; D016063:Blood Loss, Surgical; D005260:Female; D005500:Follow-Up Studies; D006498:Hepatectomy; D006801:Humans; D000069290:Incisional Hernia / Q000209:etiology; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D016687:Polydioxanone; D011183:Postoperative Complications / Q000209:etiology; D013530:Surgical Wound Infection / Q000209:etiology; D013537:Sutures; D014945:Wound Healing
chemical_list: D016687:Polydioxanone