Running closure of clean and contaminated abdominal wounds using a synthetic monofilament absorbable looped suture

Iwase, Kazuhiro; Higaki, Jun; Tanaka, Yasushi; Kondoh, Haruhiko; Yoshikawa, Masaharu; Kamiike, Wataru

doi:10.1007/bf02482778

Cited by 24 publications

(10 citation statements)

References 12 publications

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“…10 Previous studies have reported that nonabsorption thread is a more frequent cause of suture granulomas than absorption thread. 11,12 Moreover, suture granulomas that develop following absorption thread suturing tend to heal after simple drainage within 1 week, whereas those that develop following nonabsorption thread suturing require a longer period of time to heal, necessitating removal of the infected suture materials. 11 Therefore, using absorption thread is beneficial for preventing unnecessary surgery.…”

Section: Discussionmentioning

confidence: 99%

Suture Granuloma With False-Positive Findings on FDG-PET/CT Resected via Laparoscopic Surgery

Takeshita

Tohma

Miyauchi

et al. 2015

International Surgery

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A 61-year-old woman who had undergone total hysterectomy 16 years previously exhibited a pelvic tumor on computed tomography (CT). F-18 fluorodeoxyglucose (FDG) combined positron emission tomography (PET)/CT imaging revealed a solitary small focus of increased FDG activity in the pelvis. A gastrointestinal stromal tumor originating in the small intestine or another type of tumor originating in the mesentery (desmoid, schwannoma, or foreign body granuloma) was suspected; therefore, laparoscopic resection was conducted. A white, hard tumor was found to originate from the mesentery of the sigmoid colon and adhered slightly to the small intestine. The tumor was resected with a negative margin, and the pathologic diagnosis was suture granuloma. The possibility of suture granuloma should be kept in mind in cases of tumors with positive PET findings and a history of surgery close to the lesion. However, it is difficult to preoperatively diagnose pelvic tumors using a biopsy. Therefore, considering the possibility of malignancy, it is necessary to achieve complete resection without exposing the tumor.

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Section: Discussionmentioning

confidence: 99%

Suture Granuloma With False-Positive Findings on FDG-PET/CT Resected via Laparoscopic Surgery

Takeshita

Tohma

Miyauchi

et al. 2015

International Surgery

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“…Some studies have reported that absorption thread, including manufactured silk, can be a more frequent cause of suture granulomas than nonabsorption thread [9, 10]. Moreover, Iwase et al demonstrated that suture granulomas that develop following absorption thread suturing heal following simple percutaneous drainage within one week, whereas suture granulomas that develop following braided silk suturing require an average of 16 days to heal and necessitate the removal of the infected suture strings in all cases [9].…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, Iwase et al demonstrated that suture granulomas that develop following absorption thread suturing heal following simple percutaneous drainage within one week, whereas suture granulomas that develop following braided silk suturing require an average of 16 days to heal and necessitate the removal of the infected suture strings in all cases [9]. Absorption thread suturing rarely causes suture granulomas, and this type granuloma can be diagnosed and treated with simple drainage.…”

Section: Discussionmentioning

confidence: 99%

Suture Granuloma Showing False-Positive Findings on FDG-PET

Takahara

Kakinoki

Ikoma

et al. 2013

Case Reports in Urology

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We report a case of a 33-year-old male with a mixed germ-cell testicular tumor. Postoperative follow-up FDG-PET revealed concentration of FDG in the left inguinal area which is not tumor metastasis or local recurrence but suture reactivity granuloma. In this paper, we reviewed suture granulomas associated with false-positive findings on FDG-PET after surgery. If FDG-PET will be used more frequently in the future, it will be necessary to refrain from using silk thread in order to prevent any unnecessary surgery.

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“…20 patients of gastric perforations including duodenal ulcer perforations and 19 cases of colorectal perforations were included by Iwase et a1. 4 Mean time taken for closure of rectus sheath in groups A&B was 13.10±2.998, and 16.00±2.15, minutes respectively. The difference being statistically highly significant (p<0.001).…”

Section: Discussionmentioning

confidence: 90%

Comparison of continuous versus interrupted method of abdominal fascia closure using non - absorbable suture in the patients of acute peritonitis: our experience of 60 cases

Kumar

Jauhari

2017

Int J Res Med Sci

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Background: The best method of wound closure would be one that provides adequate tensile strength to the incision until the wound heals and approximates the tissue in a way that normal healing mechanism can occur under optimal circumstance. The suture should remain secure even in the presence of local or systemic infection. The continuous suture has the advantage of an evenly distributed tension across the suture line and being more expedient. It also has the advantage of having a single suture line holding the fascia together. The interrupted suturing technique has the disadvantage of being time consuming.Methods: All the patients of peritonitis were taken up for emergency laparotomy fulfilling the inclusion criteria will be included in the study. They were divided into two groups A and B by randomization technique. Each group contained 30 patients each. Patients included in group A underwent continuous method of abdominal fascia closure post laparotomy. Patients included in group B underwent interrupted method of abdominal fascia closure post laparotomy.Results: In the present study, 60 cases of peritonitis were taken up, out of these mean age in the two groups were 34.03 years and 35.03 years respectively, majority of the patients were male 50 (83.3%); Most common diagnosis was of duodenal perforation peritonitis with 22 patient (36.7%), with Ileal perforation peritonitis 15 patients (25.0%), Kochs perforation peritonitis 13 patient (21.7%); Mean time taken for closure in continuous group was 13.10 minutes as compared to 16.00 minutes in interrupted group, This difference was statistically significant. Wound infection rate in two group were 26.7% and 33.3% respectively, wound infection was present in 30%of total patient. Burst abdomen was present in 20% in both the group.Conclusions: Continuous suturing with polypropylene is comparable to interrupted suturing in terms of wound infection, frequency of burst abdomen. Although continuous suturing is better than interrupted suturing as it is faster, take less time in closure than interrupted closure. Continuous polypropylene thus becomes the preferred material and method of closure for abdominal fascia for acute peritonitis.

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Running closure of clean and contaminated abdominal wounds using a synthetic monofilament absorbable looped suture

Cited by 24 publications

References 12 publications

Suture Granuloma With False-Positive Findings on FDG-PET/CT Resected via Laparoscopic Surgery

Suture Granuloma With False-Positive Findings on FDG-PET/CT Resected via Laparoscopic Surgery

Suture Granuloma Showing False-Positive Findings on FDG-PET

Comparison of continuous versus interrupted method of abdominal fascia closure using non - absorbable suture in the patients of acute peritonitis: our experience of 60 cases

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