Mass closure of the abdominal wound with delayed absorbable suture in surgery for gynecologic cancer

J Reprod Med. 1991 May;36(5):356-8.

Abstract

There has been a resurgence of interest recently in the optimal method of closure of the midline abdominal wound. The focus has been on the high-risk patient in particular. The controversy centers on interrupted versus continuous fascial closure and the choice of suture material. For three years on a gynecologic cancer service, running mass closure with delayed absorbable suture (Polyglactin) was used. Two hundred fifty-six patients were evaluable for analysis. The minimum follow-up time was two years. There was no wound dehiscence. Fourteen patients (5.5%) developed incisional hernias. The mass closure technique using delayed absorbable suture was effective in very-high-risk patients.

Publication types

  • Clinical Trial

MeSH terms

  • Female
  • Follow-Up Studies
  • Genital Neoplasms, Female / surgery*
  • Hernia, Ventral / epidemiology*
  • Hernia, Ventral / etiology
  • Humans
  • Laparotomy
  • Middle Aged
  • Polyglactin 910 / therapeutic use*
  • Postoperative Complications / epidemiology*
  • Postoperative Complications / etiology
  • Suture Techniques / adverse effects*
  • Sutures / standards*

Substances

  • Polyglactin 910