Page 73 - 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)
200 (105/95)
Emergency and elective midline laparotomy
Non-absorbable polypropylene, continuous layered closure (Prolene 1-0)
Rapid absorbable
60 mo
N/A, 1 cm from edge, 1-2 cm apart
Incisional hernia, SSI, dehiscence
737 (381/356)
Emergency and elective midline laparotomy
Slowly-absorbable continuous single- layer small bites (PDS 2-0)
Slowly-absorbable continuous single-layer big bites
(PDS 1-0)
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, dehiscence
204 (100/104)
Emercency and elective midline, paramedian, transverse and oblique laparotomy
Slowly-absorbable polygluconate, single layer interrupted sutures (Maxon 0-0)
Rapid absorbable polyglycolic acid single layer interrupted sutures (Dexon 0-0)
12 mo
N/A, 1,5 cm from fascial edge and 1 cm apart
Incisional hernia, SSI, dehiscence
571 (286/285)
Emercency and elective midline, paramedian, transverse and oblique laparotomy
Non-absorbable continuous layered polypropylene (Prolene 0-0)
Rapid absorbable polyglycolic acid layered interrupted Smead- Jones (Dexon 0-0)
12 mo
N/A, 1,5 cm from fascial edge and 1 cm apart
Incisional hernia, SSI, dehiscence, haematoma
988 (345/339)
Emergency and elective midline, transvere and paramedian laparotomy
Slowly-absorbable mono lament polygluconate, continuous (Maxon 0-0)
Rapid absorbable multi lament polyglactin, interrupted (Vicryl 0-0)
12 mo
N/A, N/A
Incisional hernia, SSI, dehiscence
polyglycolic acid, interrupted Smead Jones (Dexon 1-0)
Sahlin et al.(31)
Richards et al.(30)
Osther et al.(29)
Millbourn et al.(25)
Lewis et Paper al.(24)
High quality
Acceptable
Acceptable
Acceptable
Acceptable Quality assessment