Advertisement

Closure of the Abdomen in Acute Wound Failure

  • H. Gislason

Abstract

Wound complications are still a challenging problem after major gastrointestinal operations. Prospective trials performed in recent years show burst abdomen rates of 1%–3%, wound infection rates of 10%–15% and incisional hernia rates of 4%–21% [1–9]. Burst abdomen is a complication associated with mortality rates of 10%–30%, high morbidity, and increased hospital stay and cost of treatment. In an effort to reduce the rate of this complication, many prospective randomized studies have been performed comparing different closure methods and suture materials [1–9]. with the incidence of burst abdomen that low, the problem with these studies is often the small number of patients included, leading to inconclusive results.

Keywords

Incisional Hernia Suture Material Wound Infection Rate Polyglycolic Acid Abdominal Wall Closure 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Bucknall TE, Ellis H. Abdominal wound closure— A comparison of monofilament nylon and polyglycolic acid. Surgery 1981;89:672–677.PubMedGoogle Scholar
  2. 2.
    Gislason H, Grønbech JE, Søreide O. Burst abdomen and incisional hernia after major gastroin-testinal operations — Comparison of three closure techniques. Eur J Surg 1995;161: 349–354.PubMedGoogle Scholar
  3. 3.
    Leaper DJ, Pollock AV, Evans M. Abdominal wound closure: a trial of nylon, polyglycolic acid and steel sutures. Br J Surg 1977;64:603–606.PubMedCrossRefGoogle Scholar
  4. 4.
    Wissing J, Th JMV van Vroonhoven, ME Schattenkerk, HF Veen, RJG Ponsen, Jeekel J. Fascia closure after midline laparotomy: results of a randomized trial. Br J Surg 1987;74:738–741.Google Scholar
  5. 5.
    Osther PJ, Gjøde P, Mortensen BB, Bartholin J, Gottrup F. Randomized comparison of polyglycolic acid and polyglyconate sutures for abdominal fascial closure after laparotomy in patients with suspected impaired wound healing. Br J Surg 1995;82:1080–1082.PubMedCrossRefGoogle Scholar
  6. 6.
    Sahlin S, Ahlberg J, Granstrom L, Ljungström KG. Monofilament versus multifilament absorbable sutures for abdominal closure. Br J Surg 1993;80:322–324.PubMedCrossRefGoogle Scholar
  7. 7.
    Israelsson LA, Jonsson T. Closure of midline laparotomy incisions with polydioxanone and nylon: the importance of suture technique. Br J Surg 1994;81:1606–1608.PubMedCrossRefGoogle Scholar
  8. 8.
    Kendall SWH, Brennan TG, Guillou PJ. Suture length to wound length ratio and the integrity of midline and lateral paramedian incisions. Br J Surg 1991;78:705–707.PubMedCrossRefGoogle Scholar
  9. 9.
    Krukowski ZH, Cusick EL, Engeset J, Matheson NA. Polydioxanone or polypropylene for closure of midline abdominal incisions: a prospective comparative clinical trial. Br J Surg 1987;74:828–830.PubMedCrossRefGoogle Scholar
  10. 10.
    Grace RH, Cox S. Incidence of incisional hernia after dehiscence of the abdominal wound. Am J Surg 1976; 131:210–212.PubMedCrossRefGoogle Scholar
  11. 11.
    Jenkins TPN. The burst abdominal wound: a mechanical approach. Br J Surg 1976;63:873–876.PubMedCrossRefGoogle Scholar
  12. 12.
    Israelsson LA, Jonsson T. Suture length to wound length ratio and healing of midline laparotomy incisions. Br J Surg 1993;80:1284–1286.PubMedCrossRefGoogle Scholar
  13. 13.
    Fagniez PL, Hay JM, Lacaine F, Thomsen C. Abdominal midline incision closure. Arch Surg 1985;120:1351–1353.PubMedGoogle Scholar
  14. 14.
    Corman ML, Veidenheimer MC, Coller JA. Controlled clinical trial of three suture materials for abdominal wall closure after bowel operations. Am J Surg 1981;141:510–513.PubMedCrossRefGoogle Scholar
  15. 15.
    Schoetz DJ, Coller JA, Veidenheimer MC. Closure of abdominal wounds with polydioxanone. Arch Surg 1988;123:72–74.PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1999

Authors and Affiliations

  • H. Gislason

There are no affiliations available

Personalised recommendations