Application of modified abdominal closure technique by an all layer in ventro-pelvic part operation
- VernacularTitle:改良全层切口缝合在腹盆部手术中的应用
- Author:
Guangsen HAN
;
Jianguo XIE
;
Zhi LI
;
Qiang FU
;
Ding PAN
;
Gangcheng WANG
;
Yongchao XU
;
Jian ZHANG
- Publication Type:Journal Article
- Keywords:
Laparotomy;
Suture techniques;
Wound healing;
Modified closure technique
- From:
Cancer Research and Clinic
2008;20(9):612-613
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate application of modified abdominal closure technique by an all layer in ventro-pelvic part operation and evaluate its value and significance. Methods 3200 cases with ventre-pelvic part operation between May 2002 and Aug 2007, were subjected to single layer closure with non absorbable suture material. The clinic data and some results of follow-up were retrospectively analyzed. Results Operative incisions of 1780 (55.6%) cases were in epigastric zone and their rate of primary healing was 98.5%, others (44.3%) in hypogastric zone (including pelvic cavity) and rate of primary healing was 98.2% (P>0.05). Rate of primary healing in older age-group was 97.9% and control group 98.8%, and primary healing of group diabetes 97.4%, control group 98.2% (P > 0.05). Average time of abdmenal closure was only 11±4 min. Primary complications included dehiscence of wound (0.5%), infection (1.4%) and incisional hernia (0.2%). Follow-up (66%) was performed at 30 days, 3 and 6 months, and at 1, 2 and 3 years. Conclusion It is concluded that closure of an abdominal incision can be effected by a multifilament interrupted absorbable sutures without an increased risk of wound dehiscence or incisional hernia, meanwhile economic and fast. It is the optimal method of abdominal closure and can be generalized.
