Grace D M
Can J Surg. 1976 Jan;19(1):54-8.
In a period of 18 months, 100 midline incisions of 93 patients were closed with interrupted 0 Dexon sutures. The Smead-Jones far-and-near stitch was used. There were no early disruptions and no incisional hernias in follow-up periods ranging from 5 days to 14 months. Four wound infections healed readily without prolonged drainage. Incisional pain was minimal in all patients. A group of 18 patients with potential for poor healing because of hemorrhage, sepsis, malignancy and steroids had no wound complications apart from an acceptable rate of infection. It is concluded that interupted 0 Dexon with wide fascial placement provides an excellent closure for midline incisions.
在18个月的时间里，用间断0号涤纶缝线对93例患者的100个中线切口进行了缝合。采用了斯米德-琼斯远近缝合法。在5天至14个月的随访期内，没有早期切口裂开，也没有切口疝。4例伤口感染未经长时间引流即顺利愈合。所有患者的切口疼痛均很轻微。一组因出血、败血症、恶性肿瘤和使用类固醇而有愈合不良潜在风险的18例患者，除了有可接受的感染率外，没有伤口并发症。结论是，间断0号涤纶缝线并广泛放置于筋膜层，可为中线切口提供良好的缝合效果。
