Massive panniculectomy: a novel method of treatment of postlaparotomy wound dehiscence in morbid obesity

Salunke, Abhijeet Ashok; Rajkumar, K; Nambi, G.I.; Chaudhari, Vikram

doi:10.1503/cjs.029213

Cited by 1 publication

(1 citation statement)

References 4 publications

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“…Compared to our study, Zhamak et al did not compare the difference in body mass index (BMI) between the two groups, but obese patients were more prone to abdominal wound dehiscence. 17 , 42 , 43 Moreover, some studies reported that retention suture techniques do not prevent the occurrence of postoperative abdominal wound dehiscence. 3 , 11 , 44 Poole et al 11 noted that retention sutures were not essential if the fascia was properly closed.…”

Section: Discussionmentioning

confidence: 99%

Effect of retension sutures on abdominal pressure after abdominal surgery

Tang

Liu

et al. 2018

Chinese Journal of Traumatology

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PurposeTo evaluate the effect of retention sutures on abdominal pressure and postoperative prognosis in abdominal surgery patients.MethodsThis prospective cohort study included patients who were admitted to Daping Hospital from May 15, 2014 to October 11, 2014. A total of 57 patients were enrolled, including 18 patients in the “U” type retention suture group, 17 patients in the intermittent retention suture group, and 22 patients in non-retention suture group. The demographic data, clinical data and risk factors for abdominal wound dehiscence were recorded. The bladder pressure (IVP) was monitored preoperatively, intraoperatively, and four days postoperatively. Additionally, the incidence of abdominal wound dehiscence and infection 14 days after the operation was recorded.ResultsDuring the operation, the IVP decreased and then increased; it was at its lowest 1 h after the start of the operation (5.3 mmHg ± 3.2 mmHg) and peaked after tension-reducing (8.8 mmHg ± 4.0 mmHg). The IVP values in the “U” type retention suture group and intermittent retention suture group were higher than in the non-retention suture group 4 days after operation (p < 0.005). The Visual Analogue Scale (VAS) pain scores were 3.9 ± 2.2, 3.8 ± 2.0, and 3.0 ± 1.0 in the retention suture group, intermittent retention suture group and non-retention suture group, respectively. The VAS pain scores in the “U” type tension-reducing group and intermittent tension-reducing group were higher than in the non-tension-reducing group (p < 0.005).ConclusionAlthough retention sutures may reduce the incidence of postoperative wound dehiscence in abdominal surgery patients, they can increase the IVP and postoperative pain.

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