Kiely E M, Spitz L
Br J Surg. 1985 Sep;72(9):739-40. doi: 10.1002/bjs.1800720923.
A prospective trial of layered versus mass closure of laparotomy wounds was performed on 507 infants and children over a 33 month period. All wounds were sutured using polyglycolic acid sutures. There were four wound failures including one disruption in the layered closure group and one wound failure in the mass closure group. The incisional hernias healed spontaneously. Either method of closure yields good results and non-absorbable sutures are unnecessary.
在33个月的时间里,对507名婴幼儿进行了一项关于剖腹手术伤口分层缝合与整块缝合的前瞻性试验。所有伤口均使用聚乙醇酸缝线进行缝合。共有4例伤口愈合不良,其中分层缝合组有1例伤口裂开,整块缝合组有1例伤口愈合不良。切口疝均自行愈合。两种缝合方法均能取得良好效果,无需使用不可吸收缝线。