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Running mass closure of abdominal wounds using absorbable looped suture

Journal: Journal of Gynecological Surgery Date: 1991/02, 7(2):Pages: 107-110. doi: Subito , type of study: cohort study

Full text    (https://www.liebertpub.com/doi/10.1089/gyn.1991.7.107)

Keywords:

abdomen [14]
cohort study [86]
female [607]
gynecology [21]
looped suture [1]
surgical care [60]
women [562]
wound healing [12]

Abstract:

Three hundred patients undergoing celiotomies had fascial incisions closed using O-Maxon looped suture employing a knot-free running modification of the Smead Jones method. Two hundred ninety-three patients were evaluated prospectively to determine efficacy and safety of this technique. Seventy-two percent of patients underwent celiotomies for treatment of malignant diseases. A vertical incision was used in 79% and a transverse incision in 21% of patients. Mean fascial closure time was 8.4 minutes (range 3-32), without a significant difference between the vertical and transverse incisions. Overall suture handling was judged as excellent in 44% of the patients and good in 54%. Six weeks postoperatively, wounds were healed in 99% of patients, with less than 1% having residual infection or unclosed, granulating wounds. No herniation or fascial dehiscences occurred in this series. We conclude that Maxon looped suture employing a knot-free running Smead Jones technique appears to be a safe, efficient, and effective closure method in this group of patients. Further follow-up will be required to show whether this outcome is sustained.


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