Bagi P, Jendresen M, Kirkegaard P
Kirurgisk gastroenterologisk afdeling C., Rigshospitalet, København.
Ugeskr Laeger. 1993 Aug 2;155(31):2399-402.
The frequency and character of early complications following creation of enterostomies, and their relation to the type of suture material used were studied in 50 consecutive patients. The stomas were matured by muco-cutaneous eversion, and were fixated with Maxon 4-0 and Vicryl 3-0 sutures. Half the stoma circumference was sutured with the one suture type, and the other half with the other. No statistically significant correlation was found between enterostomy type or surgical procedure and complications. The incidence of muco-cutaneous complications was significantly higher following fixation with Vicryl as compared to Maxon sutures. The cause of this difference is uncertain, however, the physical configuration of the sutures seems important, Maxin being monofile versus Vicryl being braided. Whether the chemical structure is significant as well remains undetermined at present.
对50例连续患者进行了研究，观察肠造口术后早期并发症的发生频率、特点及其与所用缝合材料类型的关系。造口通过黏膜皮肤外翻成熟，并用美生4-0和薇乔3-0缝线固定。造口周长的一半用一种缝线类型缝合，另一半用另一种缝线类型缝合。未发现肠造口类型或手术操作与并发症之间存在统计学上的显著相关性。与美生缝线相比，使用薇乔缝线固定后黏膜皮肤并发症的发生率显著更高。然而，这种差异的原因尚不确定，不过缝线的物理结构似乎很重要，美生是单丝缝线而薇乔是编织缝线。目前尚不确定化学结构是否也有显著影响。
