The suturing of abdominal incisions. A comparison of monofilament nylon and catgut

Tagart, R. E. B.

doi:10.1002/bjs.1800541112

Cited by 23 publications

(5 citation statements)

References 3 publications

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“…Monofilament non-absorbable (Nylon 1) sutures were used in these patients. This suture has been used successfully by other workers [ 8 , 23 , 27 , 33 ]. Surgical treatment of incisional hernia include suture repair (which may incorporate relaxing incision), internal suture retention techniques, muscle flap rotation, autodermal hernioplasty, and prosthetic implantation using onlay and sublay techniques [ 5 , 34 ].…”

Section: Discussionmentioning

confidence: 99%

Incisional Hernia in Women: Predisposing Factors and Management Where Mesh is Not Readily Available

Ea¹,

Olabanji²,

Oi³

et al. 2008

Libyan J Med

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Background / Aim: Incisional hernia is still relatively common in our practice. The aim of the study was to identify risk factors associated with incisional hernia in our region. The setting is the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria during a period when prosthetic mesh was not readily available. Patients and Methods: All the women who presented with incisional hernia between 1996 and 2005 were prospectively studied using a standard form to obtain information on pre-hernia (index) operations and possible predisposing factors. They all had open surgical repair and were followed up for 18–60 months. Results: Forty-four women were treated during study period. The index surgeries leading to the hernias were emergency caesarian section 26/44 (59.1%), emergency exploratory laparotomy 6/44 (13.6%), and elective surgeries 12/44 (27.3%). Major associated risk factors were the use of wrong suture materials for fascia repair, midline incisions, wound sepsis, and overweight. Conclusion: For elective surgeries, reduction of weight should be encouraged when appropriate, and transverse incisions are preferred. Absorbable sutures, especially chromic catgut, should be avoided in fascia closure. Antibiotics should be used for complicated obstetric cases.

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Section: Discussionmentioning

confidence: 99%

Incisional Hernia in Women: Predisposing Factors and Management Where Mesh is Not Readily Available

Ea¹,

Olabanji²,

Oi³

et al. 2008

Libyan J Med

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“…The problem of defining an incisional hernia caused some-difficulty. At first we adopted the definition of Tagart (1967), namely a bulge when the patient --lying supine-tensed his abdominal muscles. However, many patients with such a weakness (often medial to a paramedian incision) do not develop a hernia, and we now define it as a bulge noticeable on standing, by patient and observer, and frequently requiring support or repair.…”

Section: Definitionsmentioning

confidence: 99%

Abdominal wound closure: A trial of nylon, polyglycolic acid and steel sutures

Leaper

Pollock

Evans

1977

British Journal of Surgery

107

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Failures after abdominal wound closure (early dehiscences and late incisional hernias) are due to breakage of sutures, slippage of knots or tearing out of sutures from the tissues. The suture-holding capacity of the entire thickness of muscle and aponeurosis is nearly twice that of the anterior rectus sheath, and deep bites (1-0 cm from the cut edges) are nearly twice as secure as bites of 0-5 cm. In a random controlled clinical trial of 357 major laparotomies, closure with either layered monofilament nylon or mass polyglycolic acid or steel resulted in 2 burst abdomens (0-56%), 10 incisional hernias due to suture failure (3-4%) and 8 incisional hernias caused by deep sepsis (2-7%). There were no statistically significant differences among the treatment groups, but 1 patient in the nylon and 3 in the steel groups had persistent sinuses until their sutures were removed.

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“…Continuous closure technique is a traditionally used technique for closure of laparotomy fascial wounds known for ages, having its own benefits, but the recent evolution of newer techniques led to better results than the conventional technique. 10 Our study is based on comparing continuous suture and interrupted suture (figure of eight) 11 in laparotomy in which the interrupted suture with using figure of eight suture technique is better than continuous suture technique.…”

Section: Discussionmentioning

confidence: 99%

Comparative Study Between Continuous Suture and Interrupted Suture in Laparotomy Wound Repair

Odiya¹,

Hedau²,

Raghuwanshi³

et al. 2017

jemds

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BACKGROUNDThere is always a concern amongst the surgeons about abdominal wound complications after continuous or interrupted suturing, so our study is hereby intended to compare the outcome of continuous and interrupted suture in laparotomy wound repair. Aims & Objectives-To measure the risk of abdominal wound dehiscence, wound infections & gaping, seroma and incisional hernia for interrupted and continuous suture technique in laparotomy and to calculate the relative risk of burst abdomen between continuous and interrupted method.

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The suturing of abdominal incisions. A comparison of monofilament nylon and catgut

Cited by 23 publications

References 3 publications

Incisional Hernia in Women: Predisposing Factors and Management Where Mesh is Not Readily Available

Incisional Hernia in Women: Predisposing Factors and Management Where Mesh is Not Readily Available

Abdominal wound closure: A trial of nylon, polyglycolic acid and steel sutures

Comparative Study Between Continuous Suture and Interrupted Suture in Laparotomy Wound Repair

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