Back to Search
Start Over
Small stitches with small suture distances increase laparotomy closure strength
- Source :
- American Journal of Surgery, 198(3), 392-395. Elsevier Inc.
- Publication Year :
- 2009
-
Abstract
- BACKGROUND: There is no conclusive evidence which size of suture stitches and suture distance should be used to prevent burst abdomen and incisional hernia. METHODS: Thirty-eight porcine abdominal walls were removed immediately after death and divided into 2 groups: A and B (N = 19 each). Two suturing methods using double-loop polydioxanone were tested in 14-cm midline incisions: group A consisted of large stitches (1 cm) with a large suture distance (1 cm), and group B consisted of small stitches (.5 cm) with a small suture distance (.5 cm). RESULTS: The geometric mean tensile force in group B was significantly higher than in group A (787 N vs 534 N; P = .006). CONCLUSIONS: Small stitches with small suture distances achieve higher tensile forces than large stitches with large suture distances. Therefore, small stitches may be useful to prevent the development of a burst abdomen or an incisional hernia after midline incisions. (C) 2009 Elsevier Inc. All rights reserved.
- Subjects :
- medicine.medical_specialty
Hernia
Incisional hernia
Swine
medicine.medical_treatment
Abdominal wall
Polydioxanone
chemistry.chemical_compound
Postoperative Complications
Suture (anatomy)
Laparotomy
Tensile Strength
Surgical Wound Dehiscence
Medicine
Animals
business.industry
Abdominal Wall
Suture Techniques
General Medicine
Fascia
Anatomy
medicine.disease
Surgery
medicine.anatomical_structure
chemistry
Abdomen
business
Subjects
Details
- ISSN :
- 00029610
- Database :
- OpenAIRE
- Journal :
- American Journal of Surgery, 198(3), 392-395. Elsevier Inc.
- Accession number :
- edsair.doi.dedup.....859c70166d628274fe3ddcde50b66d44