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Medline ® Abstract for Reference 46

of 'Complications of abdominal surgical incisions'

46
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Mass closure of the abdominal wound with delayed absorbable suture in surgery for gynecologic cancer.
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Hoffman MS, Villa A, Roberts WS, Fiorica JV, LaPolla JP, Barton DP, Cavanagh D
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J Reprod Med. 1991;36(5):356.
 
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.
AD
Department of Obstetrics and Gynecology, H. Lee Moffitt Cancer Center and Research Institute, University of South Florida College of Medicine, Tampa 33682-0179.
PMID