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Mass Continuous Suture versus Layered Interrupted Suture in Transverse Abdominal Incision Closure after Liver Resection

World Journal of Surgery volume 40, pages 2237–2244 (2016)Cite this article

Abstract

Background

Abdominal incision closure technique seriously influences patient prognosis. Most studies have focused on the different suture techniques and materials on midline incision, while little data are available in wide transverse or oblique incisions after liver resection (LR). The aim of the present study is to compare the two major incision suture methods after LR in our institute: Mass continuous suture (group P) and layered interrupted suture (group S).

Study design

258 patients undergoing LR with abdominal transverse or oblique incisions were prospectively enrolled. They were divided into two groups according to different abdominal incision suture methods and compared with the preoperative, intraoperative parameters, and postoperative wound complications.

Results

There were 118 patients in group P and 140 patients in group S, which was similar in general condition, primary disease, liver, and renal function. Incision length, total operation time, intraoperative blood loss, or perioperative antibiotics use were not different between the two groups. However, abdominal incision closure time and interval time for stitches removing after operation was significantly shorter in group P than group S (both p < 0.001). After a median follow-up of 16 months, the incidence of wound infection and fat liquefaction was more than two times higher in group S than group P, which, however, was not statistically different. Moreover, there was no difference in wound disruption or incisional hernia between the two groups.

Conclusions

Although similar in occurrence of postoperative wound complications, mass continuous suture with polydioxanone seemed to be more timesaving in incision closure and motivated in wound healing.

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Acknowledgments

This work was supported in part by National Natural Science Foundation (No. 81372582), “New-Star Young Scientists” in Shaanxi Province Program (2014kjxx-30), and The Fundamental Research Funds for the Central Universities.

Authors’ contribution

Study conception and design: Zhang, Lv, Liu, Wu, acquisition of data: Zhang, Zhang, Zhu, Lu, Lu, Ren, Liu, Dong, Du, analysis and interpretation of data: Zhang, Zhang, Zhu, Zhang, Lv, drafting of manuscript: Zhang, Zhang, Zhu, critical revision: Lv, Zhang. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

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Affiliations

  1. Department of Hepatobiliary Surgery, No. 277 West Yan-ta Road, Xi’an, 710061, Shaanxi, People’s Republic of China

    Jing Zhang, Hong-Ke Zhang, Hao-Yang Zhu, Jian-Wen Lu, Qiang Lu, Yi-Fan Ren, Chang Liu, Jian Dong, Zhao-Qing Du, Xue-Min Liu, Zheng Wu, Yi Lv & Xu-Feng Zhang

  2. Institute of Advanced Surgical Technology and Engineering, The First Affiliated Hospital of Medical College, Xi’an Jiaotong University, No. 277 West Yan-ta Road, Xi’an, 710061, Shaanxi, People’s Republic of China

    Jing Zhang, Hong-Ke Zhang, Hao-Yang Zhu, Jian-Wen Lu, Qiang Lu, Yi-Fan Ren, Chang Liu, Jian Dong, Zhao-Qing Du, Xue-Min Liu, Zheng Wu, Yi Lv & Xu-Feng Zhang

  3. Shaanxi Provincial Regenerative Medicine and Surgical Engineering Research Center, No. 277 West Yan-ta Road, Xi’an, 710061, Shaanxi, People’s Republic of China

    Jing Zhang, Hong-Ke Zhang, Hao-Yang Zhu, Jian-Wen Lu, Qiang Lu, Yi-Fan Ren, Chang Liu, Jian Dong, Zhao-Qing Du, Xue-Min Liu, Zheng Wu, Yi Lv & Xu-Feng Zhang

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  1. Jing Zhang
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  2. Hong-Ke Zhang
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  3. Hao-Yang Zhu
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  5. Qiang Lu
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  7. Chang Liu
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  8. Jian Dong
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  9. Zhao-Qing Du
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  10. Xue-Min Liu
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  11. Zheng Wu
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  12. Yi Lv
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  13. Xu-Feng Zhang
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Correspondence to Yi Lv or Xu-Feng Zhang.

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Zhang, J., Zhang, HK., Zhu, HY. et al. Mass Continuous Suture versus Layered Interrupted Suture in Transverse Abdominal Incision Closure after Liver Resection. World J Surg 40, 2237–2244 (2016). https://doi.org/10.1007/s00268-016-3617-8

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  • DOI: https://doi.org/10.1007/s00268-016-3617-8

Keywords

  • Liver Resection
  • Incisional Hernia
  • Triclosan
  • Oblique Incision
  • Abdominal Transverse