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Article
November 1983

Abdominal Wound Closure With a Continuous Monofilament Polypropylene SutureExperience With 1,000 Consecutive Cases

Author Affiliations

From the Department of Surgery, Highland Clinic, and the Department of Surgery, Louisiana State University Medical Center, Shreveport.

Arch Surg. 1983;118(11):1305-1308. doi:10.1001/archsurg.1983.01390110053012
Abstract

• We report our experience with 1,000 consecutive abdominal wound closures using continuous monofilament polypropylene (Prolene) sutures. Wound dehiscence occurred in four patients (0.4%), and incisional hernia occurred in seven patients (0.7%). The incidence of persistent suture sinus was less than 1%. A comparison of these results with the reported data showed that this method was at least equal to other types of wound closure. While the polypropylene suture is more difficult to handle than traditional sutures, it is probably the preferred suture for contaminated and dirty wounds. It has eliminated the need for retention sutures in our practice, and its use as a continuous, running closure has offered the advantage over the usual interrupted technique of being simpler, faster, and more cost effective. Sepsis has continued to be the greatest cause of failure of abdominal wounds to heal.

(Arch Surg 1983;118:1305-1308)

References
1.
Usher FC, Allen JE, Crosthwait RW, et al:  Polypropylene monofilament: A new biologically inert suture for closing contaminated wounds . JAMA 1962;179:780-786.Article
2.
Hermann RE:  Abdominal wound closure using a new polypropylene monofilament suture . Surg Gynecol Obstet 1974;138:84-86.
3.
Herrmann JB: Modern surgical sutures: Their characteristics and applications. Read before the International Symposium on Sutures in Wound Repair, London, July 10-11, 1972.
4.
Miller JM:  Evaluation of a new surgical suture (Prolene) . Am Surg 1973;39:31-39.
5.
Chu CC:  Mechanical properties of suture materials . Ann Surg 1981; 193:365-371.Article
6.
Clark DE:  Surgical suture materials . Contemp Surg 1980;17:33-48.
7.
Labardini MM: Clinical and laboratory experiences in dehiscence in infected abdominal wounds. Read before the International Symposium on Sutures in Wound Repair, London, July 10-11, 1972.
8.
Sharp WV, Belden TA, King PH, et al:  Suture resistance to infection . Surgery 1982;91:61-63.
9.
Jenkins TPN:  The burst abdominal wound: A mechanical approach . Br J Surg 1976;63:873-876.Article
10.
Sanders RJ, DiClementi D, Ireland K:  Principles of abdominal wound closure: I. Animal studies . Arch Surg 1977;112:1184-1187.Article
11.
Sanders RJ, DiClementi D:  Principles of abdominal wound closure. II. Prevention of wound dehiscence . Arch Surg 1977;112:1188-1191.Article
12.
Ellis H, Heddle R:  Does the peritoneum need to be closed at laparotomy? Br J Surg 1977;64:733-736.Article
13.
Peloso A, Wilkinson LH:  The chain stitch knot . Surg Gynecol Obstet 1974;139:599-600.
14.
Tagert REB:  The suturing of abdominal incisions: A comparison of monofilament nylon and catgut . Br J Surg 1967;54:952-957.Article
15.
Bucknall TE, Ellis H:  Abdominal wound closure: A comparison of monofilament nylon and polyglycolic acid . Surgery 1981;89:672-677.
16.
Corman ML, Veidenheimer MC, Coller JA:  Controlled clinical trial of three suture materials for abdominal wall closure after bowel operations . Am J Surg 1981;141:510-513.Article
17.
Ellis H, Heddle R:  Closure of the abdominal wound . J R Soc Med 1979;72:17-18.
18.
Everett WG: The choice of suture material for abdominal wound closure. Read before the International Symposium on Sutures in Wound Repair, London, July 10-11, 1972.
19.
Goligher JC:  Visceral and parietal sutures in abdominal surgery . Am J Surg 1976;131:130-140.Article
20.
Irvin TT, Koffman CG, Duthie HL:  Layer closure of laparotomy wounds with absorbable and non-absorbable suture material . Br J Surg 1976;63:793-796.Article
21.
Irvin TT, Stoddard CJ, Greaney MC, et al:  Abdominal wound healing: A prospective clinical study . Br Med J Clin Res 1977;2:351-352.Article
22.
Leaper DJ, Pollock AV, Evans M:  Abdominal wound closure: A trial of nylon, polyglycolic acid and steel sutures . Br J Surg 1977;64:603-606.Article
23.
Martyak SH, Curtis LE:  Abdominal incision and closure: A systems approach . Am J Surg 1976;131:476-480.Article
24.
Pollock AV, Greenall MJ, Evans M:  Single layer mass closure of major laparotomies by continuous suturing . J R Soc Med 1979;72:889-893.
25.
Abel AL, Hunt AH:  Stainless steel wire for closing abdominal incisions and for repair of hernias . Br Med J Clin Res 1948;2:379-382.Article
26.
Lord JW, Pfeffer RB, Golomb FM:  Elimination of disruption of abdominal incisions . Surg Gynecol Obstet 1969;129:758-760.
27.
Spencer FC, Sharp EH, Jude JR:  Experiences with wire closure of abdominal incisions in 293 selected patients . Surg Gynecol Obstet 1963;117: 235-238.
28.
Forrester J, in discussion, Everett WG: The choice of suture material for abdominal wound closure. Read before the International Symposium on Sutures in Wound Repair, London, July 10-11, 1972.
29.
Eisenstadt MS, Hoerr SO:  Causes and management of surgical wound dehiscence . Cleve Clin Q 1972;39:33-42.
30.
Nyhus LM, Bombeck CT:  Hernias , in Sabiston DC Jr (ed): Textbook of Surgery . Philadelphia, WB Saunders Co, 1977, pp 1335-1360.
31.
Fischer JD, Turner FW:  Abdominal incisional hernias: A ten-year review . Can J Surg 1974;17:202-204.
32.
Greenburg AG, Saik RP, Peskin GW:  Wound dehiscence: Pathophysiology and prevention . Arch Surg 1979;114:143-146.Article
33.
Kratzer GL:  Intestinal anastomosis and abdominal wound closure using monofilament Prolene polypropylene suture: Report of 56 cases . Dis Colon Rectum 1978;21:342.Article
34.
Penninckx FM, Poelmans SV, Kerremans RP, et al:  Abdominal wound dehiscence in gastroenterological surgery . Ann Surg 1979;189:345-352.Article
35.
Kirk RM:  Effect of method of opening and closing the abdomen on incidence of wound healing . Lancet 1972;2:352-353.Article
36.
Malt RA:  Abdominal incisions, sutures and sacrilege . N Engl J Med 1977;297:722-723.Article
37.
 Burst abdomen , editorial. Lancet 1977;1:28.
38.
Archie JP Jr, Feldtman RW:  Primary abdominal wound closure with permanent, continuous running monofilament sutures . Surg Gynecol Obstet 1981;153:721-722.
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