Cleveland R D, Zitsch R P, Laws H L
Department of Surgery, Carraway Methodist Medical Center, Birmingham, Alabama 35234.
Am Surg. 1989 Jan;55(1):61-3.
Wound complications cause significant morbidity in patients undergoing gastric restrictive procedures. Two randomized, prospective trials were done evaluating suture technique and material. A subcutaneous suction catheter was used for 48 hours in all patients. In Trial I a Polyglactin-910 (Vicryl) suture, #1 in size, was used. Patients were randomized between interrupted Smead-Jones far-far-near-near sutures and running sutures. Because hernia formation appeared excessive in both groups of patients, a second study was done comparing running #1 polydioxanone (PDS) and #1 polypropylene (Prolene) suture. Hernia formation was excessive in this group as well. The authors conclude running and interrupted closures are of equal reliability. Hernia formation was excessive in both groups. The type of suture material used in these studies was inconsequential. A better method of closure is needed in morbidly obese patients to achieve less postoperative hernia formation.
伤口并发症会给接受胃部限制手术的患者带来严重的发病风险。开展了两项随机前瞻性试验来评估缝合技术和材料。所有患者均使用皮下吸引导管48小时。在试验I中，使用了尺寸为1号的聚乙醇酸910（薇乔）缝线。患者被随机分为间断的斯米德 - 琼斯远 - 远 - 近 - 近缝合和连续缝合两组。由于两组患者中疝形成似乎都过多，因此进行了第二项研究，比较连续的1号聚二氧六环酮（PDS）缝线和1号聚丙烯（普理灵）缝线。该组中疝形成也过多。作者得出结论，连续缝合和间断缝合的可靠性相同。两组中疝形成都过多。这些研究中使用的缝合材料类型无关紧要。病态肥胖患者需要一种更好的缝合方法，以减少术后疝的形成。
