PMID: 9166301May 1, 1997Paper

A randomized comparison of continuous versus interrupted mass closure of midline incisions in patients with gynecologic cancer

Obstetrics and Gynecology
M ColomboR Milani

Abstract

To address the incidence of deep wound dehiscence and incisional hernia formation with two types of mass closure after vertical midline laparotomy performed in patients with gynecologic cancer. Continuous and interrupted mass closures were compared randomly in 632 patients. Both methods were performed with absorbable material. Of the 614 subjects who could be evaluated, 308 underwent a continuous, non-locking closure with looped polyglyconate suture, and 306 were closed with interrupted polyglycolic acid according to the Smead-Jones technique. Three (1%) subjects with the continuous closure and five (1.6%) with the interrupted closure had an abdominal wound infection (P = .50). One patient whose incision was closed with continuous suturing had a deep wound dehiscence (without evisceration). The follow-up period was 6 months to 3 years. No patient had evidence of chronic sinus drainage. Thirty-two (10.4%) of the patients who had the continuous closure and 45 (14.7%) of those who were closed with the interrupted method had evidence of incisional hernia (P = .14). No hernia developed in any patient with a wound infection. Four (1.3%) hernias after the continuous closure and eight (2.6%) after the interrupted closure required surgi...Continue Reading

References

Mar 11, 1992·American Journal of Surgery·J P RiouH Johnson
Jun 1, 1987·Baillière's Clinical Obstetrics and Gynaecology·P Scheidel, M K Hohl
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Citations

Jan 12, 2007·Hernia : the Journal of Hernias and Abdominal Wall Surgery·H ChengM H Seelig
Feb 15, 2011·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M P HidalgoA G Hidalgo
May 8, 2001·Obstetrics and Gynecology·M FranchiP Bolis
Oct 5, 2001·Journal of the American College of Surgeons·M MusellaR Jovino
Apr 17, 2010·Annals of Surgery·Markus K DienerChristoph M Seiler
Apr 16, 2013·World Journal of Surgery·Subramanian NachiappanOmar Faiz
Mar 4, 2011·The Journal of Hospital Infection·S M McHughH Humphreys
May 16, 2007·ANZ Journal of Surgery·Andreas ObermairJames Nicklin
Mar 31, 2005·Current Surgery·Adil CeydeliLeslie Wise
Jan 13, 2018·World Journal of Surgery·N A HenriksenF E Muysoms
May 23, 2018·The Journal of Trauma and Acute Care Surgery·Thomas PeponisMarc A de Moya
Oct 23, 2002·The British Journal of Surgery·M van 't RietJ Jeekel
Aug 19, 2010·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Roberto BerrettaAlberto Bacchi Modena
Nov 4, 2017·The Cochrane Database of Systematic Reviews·Sunil V PatelScott R Steele
Sep 21, 2020·International Journal of Surgery Case Reports·Mahmood Al DhaheriAyman Abdelhafiz Ahmed
Nov 13, 2012·Journal of Visceral Surgery·R Le Huu NhoB Sastre

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