Page 71 - Prevention and Treatment of Incisional Hernia- New Techniques and Materials

MATCH review
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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)
161 (49/53/59)
Emergency and elective midline laparotomy
Mono lament non-absorbable polypropylene interrupted single layer (Prolene)
Multi lament absorbable interrupted single layer (Vicryl)
19 mo
N/A, N/A
Incisional hernia, SSI, dehiscence, suture sinus.
560 (284/276)
Elective midline laparotomy
Slowly absorbable mono lament, continuous single layer small bites (PDS 2-0)
Slowly absorbable mono lament, continuous mass closure big bites
(PDS 1-0 loop)
12 mo
4:1 ratio, small bites 0.5 cm from fascial edge and apart, big bites 1 cm from fascial edge and apart
Incisional hernia, SSI, burst abdomen
84 (42/42)
Elective midline laparotomy
Slowly-absorbable mono lament polygluconate continuous single layer (Maxon 1-0)
Absorbable multi lament polyglucolic acid continuous single layer (Dexon 1-0)
24 months, exact mean not reported
N/A, N,A
Incisional hernia, seroma, SSI
231 (80/74/77)
Emergency and elective paramedian laparotomy
Continuous polypropylene (Prolene 1-0)
Continuous chromic catgut
1-0
12 mo
N/A, N/A
Incisional hernia, SSI, dehiscence, suture sinus.
Multi lament non- absorbable uncoated nylon interrupted single layer (Nurolon)
Continuous polyglycolic acid (Dexon 1-0)
Donaldson et al.(33)
Deitel et al. (18)
Deerenberg et Corman et al. (21) Paper al. (4)
Acceptable
High quality
High quality Acceptable Quality assessment