Abdominal Wound Closure With a Continuous Monofilament Polypropylene Suture

Knight, Charles D.; Griffen, F. Dean

doi:10.1001/archsurg.1983.01390110053012

Cited by 27 publications

(9 citation statements)

References 21 publications

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“…One technique that has been described to overcome this is to suture down the final knot to the rectus sheath with a smaller knot consisting of only three throws. 6 With loop sutures too, although the initial knotting can be avoided, the final knot should be modified in some way to prevent it from pricking through the skin.…”

Section: Discussionmentioning

confidence: 99%

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A Technique to Bury Knots While Closing the Rectus Sheath

Paily¹,

Kovoor²

2004

Journal of Gynecologic Surgery

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Rectus sheath closure with nonabsorbable or delayed absorbable monofilament material, such as nylon, polypropylene, or polydiaxone, can cause considerable amount of discomfort and pain to the patient if the knots form a lump beneath the skin and prick through the skin. This is understandably more common in thin patients. Burying the knot beneath the rectus sheath can avoid this complication. The knot at the beginning of the closure can be easily buried by starting the stitch from inside out so that it gets tied beneath the rectus sheath. At the other end, the penultimate suture is not tightened; instead the inside loop of the suture is held in an Allis clamp. A bite is then taken beyond the angle and the needle is brought out in between the edges of the rectus sheath by piercing lateral to the angle. Using the loop of suture held with the Allis clamp, an Aberdeen knot is tied. The knot is pulled inside by taking a bite from inside out through the wound. We use this technique routinely for both vertical and transverse incisions. One hundred thirty-two cesarean sections during the years 2000 and 2001 were analyzed. We had 2 cases of sinus formation for which the suture material had to be removed. None of our other patients had any complications. This technique is a simple and effective way of burying knots while closing the rectus sheath. (J GYNECOL SURG 20:119)

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Section: Discussionmentioning

confidence: 99%

“…9 In another series where the polypropylene knots were sutured down, the incidence of sinus formation after 1 month was 1%. 6 We do not know if this technique leads to a reduced incidence of sinus formation without conducting a comparative study.…”

Section: Discussionmentioning

confidence: 99%

A Technique to Bury Knots While Closing the Rectus Sheath

Paily¹,

Kovoor²

2004

Journal of Gynecologic Surgery

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“…Thirty-one percent of patients (n = 90) had at least one prior anterior abdominal wall fascial incision (range [1][2][3][4][5][6][7][8][9][10][11][12][13][14]. At the time of surgery, 2% of wounds were considered contaminated (n = 5), 17% clean/contaminated (n = 51), 81% clean (n -236), and only 1 wound classified as infected.…”

Section: Methodsmentioning

confidence: 99%

Running Mass Closure of Abdominal Wounds Using Absorbable Looped Suture

Montz¹,

Creasman²,

Eddy³

et al. 1991

Journal of Gynecologic Surgery

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Three hundred patients undergoing celiotomies had fascial incisions closed using O-Maxon looped suture employing a knot-free running modification of the Smead Jones method. Two hundred ninety-three patients were evaluated prospectively to determine efficacy and safety of this technique. Seventy-two percent of patients underwent celiotomies for treatment of malignant diseases. A vertical incision was used in 79% and a transverse incision in 21% of patients. Mean fascial closure time was 8.4 minutes (range 3-32), without a significant difference between the vertical and transverse incisions. Overall suture handling was judged as excellent in 44% of the patients and good in 54%. Six weeks postoperatively, wounds were healed in 99% of patients, with less than 1% having residual infection or unclosed, granulating wounds. No herniation or fascial dehiscences occurred in this series. We conclude that Maxon looped suture employing a knot-free running Smead Jones technique appears to be a safe, efficient, and effective closure method in this group of patients. Further follow-up will be required to show whether this outcome is sustained.

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“…I n cision al hernia have a recurrence rate of 9 to 25% [1,2]. Surgery for recurrent her› nia is more often followed by further re› currence in nearly 50% [3].…”

Section: Introductionmentioning

confidence: 99%

“…In the closure of abdominal wounds, which are at a high risk of wound failure, better results have been achieved with the use of synthetic monofilament sutures of nylon or polypropylene [9]. In an effort to counter the risk factors, continuous monofilament nylon polyamide (loop) suture was used in the ana› tomical repair of recurrent and complicated incisional hernia.…”

Section: Introductionmentioning

confidence: 99%

Continuous Monofilament Polyamide (Loop) Suture in the Repair of Recurrent and Complicated Incisional Hernia

Sharma

Bindra

1995

Medical Journal Armed Forces India

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Surgery for recurrent incisional hernia is followed by further recurrence in nearly half the patients. Majority of these failures are due to woundcomplicatiens and factors which give rise to an increased -strain on the suture line. In an effort to counter the risk factors, continuous monofilament nylon loop suture was used in the anatomical repair of15 patients with recurrent and complicated incisional hernia. After a median follow up of14 months only one patient (6.6%)developed a recurrence, despite selecting only poor-risk patients. This technique for anatomical repair of incisional hernia seems safe and dependable. MJAFI 1995; 51 : 107-109

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Abdominal Wound Closure With a Continuous Monofilament Polypropylene Suture

Cited by 27 publications

References 21 publications

A Technique to Bury Knots While Closing the Rectus Sheath

A Technique to Bury Knots While Closing the Rectus Sheath

Running Mass Closure of Abdominal Wounds Using Absorbable Looped Suture

Continuous Monofilament Polyamide (Loop) Suture in the Repair of Recurrent and Complicated Incisional Hernia

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