首页   按字顺浏览 期刊浏览 卷期浏览 A Randomized Comparison of Continuous Versus Interrupted Mass Closure of Midline Incisi...
A Randomized Comparison of Continuous Versus Interrupted Mass Closure of Midline Incisions in Patients With Gynecologic Cancer

 

作者: MARIO COLOMBO,   ANGELO MAGGIONI,   GABRIELLA PARMA,   SALVATORE SCALAMBRINO,   RODOLFO MILANI,  

 

期刊: Obstetrics & Gynecology  (OVID Available online 1997)
卷期: Volume 89, issue 5, Part 1  

页码: 684-689

 

ISSN:0029-7844

 

年代: 1997

 

出版商: OVID

 

数据来源: OVID

 

摘要:

ObjectiveTo address the incidence of deep wound dehiscence and incisional hernia formation with two types of mass closure after vertical midline laparotomy performed in patients with gynecologic cancer.MethodsContinuous and interrupted mass closures were compared randomly in 632 patients. Both methods were performed with absorbable material. Of the 614 subjects who could be evaluated, 308 underwent a continuous, nonlocking closure with looped polyglyconate suture, and 306 were closed with interrupted polyglycolic acid according to the Smead-Jones technique.ResultsThree (1%) subjects with the continuous closure and five (1.6%) with the interrupted closure had an abdominal wound infection (P= .50). One patient whose incision was closed with continuous suturing had a deep wound dehiscence (without evisceration). The follow-up period was 6 months to 3 years. No patient had evidence of chronic sinus drainage. Thirty-two (10.4%) of the patients who had the continuous closure and 45 (14.7%) of those who were closed with the interrupted method had evidence of incisional hernia (P= .14). No hernia developed in any patient with a wound infection. Four (1.3%) hernias after the continuous closure and eight (2.6%) after the interrupted closure required surgical repair because of patient discomfort (P= .38).ConclusionThe interrupted closure was not superior to the continuous closure for short- and long-term wound security. The continuous method was preferable because it was more cost-efficient and faster.

 

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