Page 72 - 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)
599 (203/199/197)
Emergency and elective subcostal, transverse and midline laparotomy
Continuous mass polyglucanate (Maxon loop)
Interrupted polyglactin (Vicryl)
12 mo
N/A, 1.5 cm from fascial edge and 1.5 cm apart
Incisional hernia, burst abdomen
200 (100/100)
Ermergency and elective midline laparotomy
Continuous polypropylene, intermittent Aberdeen knot at every 4 stitch (Prolene 1-0)
Interrupted simple stitch polypropylene (Prolene 1-0)
12 mo
N/A, 2 cm from fascial edge and 2 cm apart
Incisional hernia, SSI, dehiscence
132 (67/65)
Emergency and elective subcostal and midline laparotomy
Non-absorbable polyamide continuous layered closure with (Ethilon 1-0)
Slowly-absorbable mono lament polygluconate continuous layered closure (Maxon 1-0)
12 mo
N/A, 1 cm from fascial edge and 1 cm apart
Incisional hernia, SSI, burst abdomen
340 (184/156)
Elective midline, subcostal, paramedian and transverse laparotomy
Slowly-absorbable mono lament polydioxane continuous layered closure with (PDS loop 0-0)
Absorbable multi lament polyglactin continuous layered closure (Vicryl 0-0)
24 mo
N/A, 1.5 cm from fascial edge and 1.5 cm apart
Incisional hernia, SSI
757 (374/383)
Emergency and elective midline laparotomy
Non-absorbable mono lament continuous mass closure (polypropylene)
Slowly-absorbable mono lament continuous mass closure (Polydioxane)
12 mo
N/A, stitch size 1 cm apart and 1 cm from edge
Incisional hernia, SSI, dehiscence
Continuous mass polyglactin (Vicryl)
Krukowski et al.(23)
Hsiao et al.(34)
Gys et al.(28)
Gurjar et al.(22)
Gislason et al. Paper (27)
Acceptable
High quality
Acceptable
Acceptable
Acceptable Quality assessment