Page 70 - Prevention and Treatment of Incisional Hernia- New Techniques and Materials

Chapter 4
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Table 1. continued Number
Type of laparotomy
Intervention
Comparison
Length of follow-up (months)
Suture to wound length ratio, stitch size
Outcome measures
of patients (group A/group B)
235 (70/71/62)
Elective midline laparotomy
Slowly absorbable polydioxanone continuous suture (I or II)
Rapid absorbable continuous suture polyglactin
12 mo
N/A, N/A
Incisional hernia, SSI, dehiscence, suture sinus.
284 (143/141)
Emergency and elective midline laparotomy
Non-absorbable mono lament interrupted mass closure (Prolene 1-0)
Slowly-absorbable mono lament interrupted mass closure (PDS 1-0)
15 mo
N/A, N/A
Incisional hernia, SSI, dehiscence
225 (112/113)
Emergency and elective midline laparotomy
Non-absorbable mono lament nylon continuous mass closure (Ethilon 0-0 loop)
Slowly-absorbable mono lament polygluconate continuous mass closure (Maxon 0-0 loop)
24 mo
N/A, N/A
Incisional hernia, SSI, dehiscence
614 (308/306)
Elective midline laparotomy
Slowly-absorbable mono lament polygluconate continuous (Maxon 1-0)
Absorbable multi lament polyglucolic acid Interrupted Smead- Jones (Dexon 1-0)
33 mo
N/A, 1.5-2 cm from fascial edge and 1.5-2 cm apart. Smead-Jones near 0.5 cm and far 2.0 cm.
Incisional hernia, dehiscence
Colombo et al. (17) Carlson et al.(20)
Cameron et Bresler et al.(16) Paper al.(19)
Acceptable Acceptable
High quality High quality Quality assessment