Comparison Between Polydioxanone and Polypropylene Sutures for Incisional Hernia during Midline Incisional Laprotomy Procedure among Pakistani patients
Mehwish Ghafoor, Muhammad Qasim Butt, Afifa Imtiaz, Ahsan Jamil, Maher Sohail Yaseen, Talha Laique
682
ABSTRACT
Background: Midline incisional
laprotomy is a very common surgical procedure adopted during general surgeries.
Material employed for wound closure has a strong effect on the post-surgical
outcomes including complications.
Aim:
To
determine the superior suture material for abdominal wall closure after surgery
among polydioxanone and polypropylene based on the post-operative length of
hospital stay and development of incisional hernia.
Study design: It was a randomized controlled trial.
Methodology: All
patients underwent midline
incisional laparotomy for both emergency and elective
surgical procedures. In current study sample size calculated was 188. group-A (n=94) and group-B (n=94). In group-A, incisional wound was
closed by polydioxanone suture whereas in
group-B, incisional
wound was closed by polypropylene suture. The
two groups were compared for superior suture material in terms of post-operative
complication and hospital stay. All the data
was processed by using SPSS v23.0.
Results: The mean± SD age (years) of patients in group-A was 45.8 ± 14.6 and in group-B was 47.8 ± 12.6
with p-value of 0.157 which is statistically insignificant. There was significant
difference between groups with p-value <0.05 in terms of hospital
stay as well as development of incisional hernia.
Conclusion: We concluded that
development of incisional hernia and length of hospital stay post-operatively
due to wound closure was considerably reduced in the polydioxanone group.
Key words: Midline incisional laprotomy, Incisional hernia, Polydioxanone and Polypropylene.
ABSTRACT
Background: Midline incisional
laprotomy is a very common surgical procedure adopted during general surgeries.
Material employed for wound closure has a strong effect on the post-surgical
outcomes including complications.
Aim:
To
determine the superior suture material for abdominal wall closure after surgery
among polydioxanone and polypropylene based on the post-operative length of
hospital stay and development of incisional hernia.
Study design: It was a randomized controlled trial.
Methodology: All
patients underwent midline
incisional laparotomy for both emergency and elective
surgical procedures. In current study sample size calculated was 188. group-A (n=94) and group-B (n=94). In group-A, incisional wound was
closed by polydioxanone suture whereas in
group-B, incisional
wound was closed by polypropylene suture. The
two groups were compared for superior suture material in terms of post-operative
complication and hospital stay. All the data
was processed by using SPSS v23.0.
Results: The mean± SD age (years) of patients in group-A was 45.8 ± 14.6 and in group-B was 47.8 ± 12.6
with p-value of 0.157 which is statistically insignificant. There was significant
difference between groups with p-value <0.05 in terms of hospital
stay as well as development of incisional hernia.
Conclusion: We concluded that
development of incisional hernia and length of hospital stay post-operatively
due to wound closure was considerably reduced in the polydioxanone group.