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Medline ® Abstract for Reference 46

of 'Complications of abdominal surgical incisions'

Mass closure of the abdominal wound with delayed absorbable suture in surgery for gynecologic cancer.
Hoffman MS, Villa A, Roberts WS, Fiorica JV, LaPolla JP, Barton DP, Cavanagh D
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.
Department of Obstetrics and Gynecology, H. Lee Moffitt Cancer Center and Research Institute, University of South Florida College of Medicine, Tampa 33682-0179.