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Research Paper | Surgery | India | Volume 11 Issue 12, December 2022 | Rating: 4.4 / 10
A Prospective Comparative Open Label Study to Evaluate Wound Outcome in Laparotomy Patients using Polydiaxonone Vs Polypropylene for Abdominal Fascia Closure
Dr. Sen S | Dr. Samir M Shah
Abstract: Laparotomy through midline abdominal incision is commonly used technique because it is easy, fast and provides good exposure to all four quadrants. Prevention of complication is important to reduce postoperative morbidity, mortality and decrease hospital stay. Wound healing following abdominal fascia closure is a dynamic and complex process with changing wound health status of the individual and changing wound environment. There were several factors which affect the wound closure, appropriate selection of proper suture material depends upon its characteristics like strength, durability, ease of handling and resistance to infection. there is no established technique generally considered as safe and best for abdominal fascia closure after laparotomy. In primary wound closure the wound heals by primary intension with a minimal duration of period without gaping and minimal scarring. Absorbable suture were required for a wound that heals quickly and gives temporary support. Polydiaxanone (PDS) a monofilament synthetic absorbable suture having its absorbability and extended wound support for up to 6 months and suited for many types of soft tissue approximation. The combinational property of absorbability and retaining strength for considerable period helps in laparotomy fascia closure. Non absorbable sutures are required where longer wound support is needed. Polypropylene is a synthetic nonabsorbable suture material and has a property of non adherent to tissue and less tissue reaction.
Keywords: Laparotomy, polydiaxanone suture, polypropylene suture, postoperative pain, VAS pain score, wound infection, wound dehiscence, palpable knots, suture sinus, incisional hernia
Edition: Volume 11 Issue 12, December 2022,
Pages: 528 - 535