ABSTRACT

Background: Currently there is no consensus on the superiority of either absorbable or non-absorbable suture materials for abdominal fascial closure.

Aim: To determine the superior suture material for abdominal wall closure after surgery among polypropylene and polydioxanone based on the occurrence of post-operative wound infection and pain. It was a randomized controlled trial.

Methodology: In current study sample size calculated was 188. Subjects were divided into 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.

Results: The mean±SD age of all enrolled patients in group-A was 45.8±14.6 years. There was significant difference between groups with p-value 0.007 in terms of Postoperative wound infection whereas insignificant difference was seen in terms of Postoperative wound pain. All the data was processed by using SPSS v 23.0. Chi square was used to determine the association of postoperative wound infection and pain with sutures.

Conclusion: We concluded that development of wound infection post-operatively was high among patients sutured with polypropylene as compared to polydioxanone group. However, there was no difference among both groups in terms of post-operative pain.

Keywords: Midline incisional laprotomy, Post-operative wound infection, Sutures and Pain