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B. M. Burt, A. Tavakkolizadeh and S. J. Ferzoco, “Incisions, Closures, and Management of the Abdominal Wound,” In: M. J. Zinner and S. W. Ashley, Eds., Maingot’s Abdominal Operations, McGraw-Hill Companies, Inc., New York, 2007, p. 4.

has been cited by the following article:

  • TITLE: New-Fangled Slowly-Absorbable versus Non-Absorbable Sutures for Abdominal Fascial Closure. Have the Goals towards an Advantageous Suture Been Met?

    AUTHORS: Georgios Anthimidis, Marios Gregoriou, Thomas Stavrakis, Kalliopi Vasiliadou, Ioannis Lyras, Kostas Ioannidis, George Basdanis

    KEYWORDS: Abdominal Closure; Suture Material; Midline Laparotomy

    JOURNAL NAME: Surgical Science, Vol.4 No.6, May 30, 2013

    ABSTRACT: Background-Aim: The technique of abdominal closure along with the material to be used is constantly evolving. The aim of the present study is to evaluate differences in midline laparotomy closure with a standard closure technique and new-fangled slow-absorbable versus non-absorbable sutures. Material and Methods: A prospective, comparative study of patients undergoing laparotomy closure with either STARDIOX (Polydioxanone) or STARLENE (Polypropylene) sutures during a 9 month period was performed. Patients were evaluated and compared in terms of surgical site infection, incisional hernia, burst abdomen, and suture sinus formation. Results: A total of 284 patients were included [141 in the STARDIOX (Polydioxanone) group and 143 in the STARLENE (Polypropylene) group]. Sinus formation was not noticed and no palpable knots were reported in both groups. Moreover burst abdomen was never encountered. Incisional hernia rates were similar for both suture materials: n = 6 (4.3%) for the STARDIOX (Polydioxanone) group and n = 5 (3.5%) for the STARLENE (Polypropylene) group. There was not statistically significant relationship between the type of suture that was used and wound infection: n = 5 (3.5%) in the STARDIOX (Polydioxanone) group and n = 6 (4.2%) in the STARLENE (Polypropylene) group. Complications did not occur in 96.1% of all patients. Conclusions: Our study suggests that there are no significant differences between these two new-fangled sutures. It seems that progress of suture materials has led to a step towards the goals of a beneficial suture and from then on complications of surgical wound closure should be merely a matter of operative technique.