caa a22 4500 475801458 CHVBK 20180406123738.0 cr unu---uuuuu 170329e20000601xx s 000 0 eng 10.1007/s002689910120 doi (NATIONALLICENCE)springer-10.1007/s002689910120 Incisional Hernia after Laparotomy: Prospective Randomized Comparison between Early-absorbable and Late-absorbable Suture Materials [Elektronische Daten] [Wei-Chiang Hsiao, Kung-Chia Young, Shan-Tair Wang, Pin-Wen Lin] Abstract.: Incisional hernia is a serious postoperative complication of laparotomy. Selecting an appropriate suture material may lessen such morbidity. This study undertook a prospective, randomized comparison of early-absorbable polyglactin 910 suture versus late-absorbable polydioxanone loop suture for fascial closure after abdominal surgery. A series of 340 consecutive patients undergoing elective laparotomy were randomized to have fascial closure with either polyglactin 910 suture or polydioxanone loop suture between October 1993 and August 1996. A 2-year follow-up revealed that 23 patients had died, and the overall mortality rate was 6.8% (23/340). Ten (10/340, 2.9%) patients, including seven with polyglactin 910 suture and three with polydioxanone loop suture, developed incisional hernias. The early postoperative evaluation revealed an incidence of wound infection of 4.1% (14/340). The development of incisional hernia was not secondary to postoperative wound infection in this study. Among these 340 patients, 192 had malignant diseases and 148 had nonmalignant ones. Fascial closure with polyglactin 910 suture was associated with more incisional hernias than that with polydioxanone loop suture, with marginal significance for patients in the malignant group (4.7% versus 0%, p= 0.07) but not in the nonmalignant group (2.6% versus 4.2%, p= 0.67). In conclusion, abdominal closure with a late-absorbable polydioxanone loop suture may be beneficial to patients with a malignant disease for preventing incisional hernia. 2000 by the Société Internationale de Chir, 2000 Hsiao Wei-Chiang Department of Surgery, National Cheng Kung University Hospital, 138 Shing-Li Road, 70428 Tainan, Taiwan, Republic of China, Republic of China aut Young Kung-Chia Department of Medical Technology, Medical College, National Cheng Kung University Hospital, 138 Shing-Li Road, 70428 Tainan, Taiwan, Republic of China, Republic of China aut Wang Shan-Tair Department of Public Health, Medical College, National Cheng Kung University Hospital, 138 Shing-Li Road, 70428 Tainan, Taiwan, Republic of China, Republic of China aut Lin Pin-Wen Department of Surgery, National Cheng Kung University Hospital, 138 Shing-Li Road, 70428 Tainan, Taiwan, Republic of China, Republic of China aut World Journal of Surgery Springer-Verlag 24/6(2000-06-01), 747-752 0364-2313 24:6<747 2000 24 268 https://doi.org/10.1007/s002689910120 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689910120 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hsiao Wei-Chiang Department of Surgery, National Cheng Kung University Hospital, 138 Shing-Li Road, 70428 Tainan, Taiwan, Republic of China, Republic of China aut NATIONALLICENCE 700 1- Young Kung-Chia Department of Medical Technology, Medical College, National Cheng Kung University Hospital, 138 Shing-Li Road, 70428 Tainan, Taiwan, Republic of China, Republic of China aut NATIONALLICENCE 700 1- Wang Shan-Tair Department of Public Health, Medical College, National Cheng Kung University Hospital, 138 Shing-Li Road, 70428 Tainan, Taiwan, Republic of China, Republic of China aut NATIONALLICENCE 700 1- Lin Pin-Wen Department of Surgery, National Cheng Kung University Hospital, 138 Shing-Li Road, 70428 Tainan, Taiwan, Republic of China, Republic of China aut NATIONALLICENCE 773 0- World Journal of Surgery Springer-Verlag 24/6(2000-06-01), 747-752 0364-2313 24:6<747 2000 24 268 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer