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. 2013 Aug;75(4):306-10.
doi: 10.1007/s12262-012-0492-x. Epub 2012 Apr 19.

A Prospective Randomized Study Comparing Non-absorbable Polypropylene (Prolene®) and Delayed Absorbable Polyglactin 910 (Vicryl®) Suture Material in Mass Closure of Vertical Laparotomy Wounds

Sharad Pandey  1 , Mohinder Singh  1 , Kuldip Singh  1 , Sartaj Sandhu  1
Affiliations

A Prospective Randomized Study Comparing Non-absorbable Polypropylene (Prolene®) and Delayed Absorbable Polyglactin 910 (Vicryl®) Suture Material in Mass Closure of Vertical Laparotomy Wounds

Sharad Pandey et al. Indian J Surg. 2013 Aug.

Abstract

Wound dehiscence is a postoperative complication encountered following abdominal surgery. A prospective randomized study was conducted to compare the incidence of wound dehiscence with a delayed absorbable and a nonabsorbable suture material in the mass closure of vertical laparotomy wounds. In one group, 100 patients were analyzed after closure with Prolene®, and in another group, 100 patients were analyzed after closure with Vicryl®. The incision was closed by continuous far and near suture technique using polypropylene (Prolene) suture in one group and a synthetic delayed absorbable polyglactin 910 (Vicryl) suture in the other group. There was significant difference in the incidence of wound dehiscence between the two groups: 6 % with Prolene and 17 % with Vicryl, (χ (2) = 5.944, 1 DF, P value = 0.0148). The overall incidence of wound dehiscence was 11.5 % in this study. The incidence of wound dehiscence in both the study groups was higher than expected as compared to previous literature. There was a significant difference between the two suture materials. In our study, Prolene is a better suture material for closure of vertical laparotomy wounds.

Keywords: Mass closure; Polyglactin; Polypropylene; Vertical laparotomy wounds; Wound dehiscence.

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Figures

Fig. 1
Fig. 1
CONSORT diagram for the study
Fig. 2
Fig. 2
Bar diagram showing percentage of wound dehiscence
See this image and copyright information in PMC

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