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Randomized Controlled Trial
. 2014 Nov 14;20(42):15815-9.
doi: 10.3748/wjg.v20.i42.15815.

Healing time of incision infection after hepatobiliary surgery treated by needle-free incision suture closure

Wen-Jie Ma  1 , Yong Zhou  1 , Hui Mao  1 , Rui-Hua Xu  1 , Anuj Shrestha  1 , Fu-Yu Li  1 , Alex Lorance  1 , Qin Yang  1 , Yong-Qiong Zhang  1 , Ting Jiang  1 , Huan Feng  1 , Wei Zhang  1 , Nan-Sheng Cheng  1
Affiliations
Randomized Controlled Trial

Healing time of incision infection after hepatobiliary surgery treated by needle-free incision suture closure

Wen-Jie Ma et al. World J Gastroenterol. .

Abstract

Aim: To compare the effectiveness of needle-free incision suture closure with butterfly tape and traditional secondary suturing techniques in treating incision infection.

Methods: Two hundred and twenty-three patients with incision infection following hepatobiliary surgery at a tertiary hospital were randomly divided into three groups: 90 patients were closed by needle-free incision suture closure, which gradually closed the incision wound when drainage from incision infection was visibly decreased and healthy granulation tissues had grown; 79 patients were closed by butterfly bandage; another 54 patients were closed by traditional secondary suturing technique. Healing time of incision infection was calculated from the beginning of dressing change to the healing of the incision.

Results: Healing time in the needle-free incision suture closure group (24.2 ± 7.2 d) was significantly shorter than that in the butterfly bandage group (33.3 ± 11.2 d) and the traditional secondary suturing group (36.2 ± 15.3 d) (P < 0.05). Healing time in the butterfly bandage group appeared to be slightly shorter than that in the secondary suture group, but the difference was not statistically significant (P > 0.05).

Conclusion: Needle-free incision suture closure could gradually close the infection wound at the same time of drainage and dressing change, thereby shortening the healing time.

Keywords: Drainage; Hepatobiliary surgery; Incision infection; Needle-free incision suture closure; Secondary suture; Wound healing.

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Figures

Figure 1
Figure 1
Wound site before closure.
Figure 2
Figure 2
Closure of the infection wound using needle-free incision suture closure.
Figure 3
Figure 3
Healing time in patients with incision infection. The wound healing time in the needle-free incision suture closure (NFISC) group was significantly shorter than that in the traditional butterfly bandage group (BB group) and secondary suture group (SS group). Healing time in the butterfly bandage group appeared to be slightly shorter than that in the secondary suture group, but the difference was not statistically significant (P > 0.05). aP < 0.05 vs BB group and SS group.
See this image and copyright information in PMC

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