Iwase K, Higaki J, Tanaka Y, Kondoh H, Yoshikawa M, Kamiike W
Department of Surgery, Rinku General Medical Center, Izumisano Municipal Hospital, Osaka, Japan.
Surg Today. 1999;29(9):874-9. doi: 10.1007/BF02482778.
The effectiveness of using an absorbable suture material for continuous closure of abdominal wounds, especially contaminated wounds, has not yet been determined. Thus, the present study was conducted to investigate the wound complications that developed following continuous closure of clean and contaminated abdominal wounds using polydioxanone (PDS), compared with those that developed following interrupted closure using braided silk. Running closure using PDS was performed in 152 patients (PDS group), while 280 patients who underwent interrupted closure using braided silk served as controls (SILK group). The occurrence rates of wound dehiscence, early wound infection, and incisional hernia did not differ significantly between the two groups; however, the incidence of late suture sinus formation in the PDS group (1.3%) was significantly lower than that in the SILK group (7.1%). Moreover, late suture sinus formation following PDS suturing healed within 1 week after percutaneous drainage alone without removal of suture strings, whereas late suture sinus following braided silk suturing took an average of 16 days to heal and required removal of the infected suture strings in all 20 patients. These findings indicate the potential usefulness of PDS as a suture material to achieve running closure of clean or contaminated abdominal wounds.
使用可吸收缝合材料连续缝合腹部伤口，尤其是污染伤口的有效性尚未确定。因此，本研究旨在调查使用聚二氧六环酮（PDS）连续缝合清洁和污染腹部伤口后发生的伤口并发症，并与使用编织丝线间断缝合后的并发症进行比较。152例患者采用PDS连续缝合（PDS组），280例采用编织丝线间断缝合的患者作为对照（丝线组）。两组伤口裂开、早期伤口感染和切口疝的发生率无显著差异；然而，PDS组晚期缝线窦形成的发生率（1.3%）显著低于丝线组（7.1%）。此外，PDS缝合后晚期缝线窦形成在单纯经皮引流后1周内愈合，无需拆除缝线，而编织丝线缝合后晚期缝线窦平均需要16天愈合，所有20例患者均需拆除感染的缝线。这些发现表明PDS作为一种缝合材料，在实现清洁或污染腹部伤口连续缝合方面具有潜在的实用性。
