Sahlin S, Ahlberg J, Granström L, Ljungström K G
Department of Surgery, Karolinska Institute, Danderyd Hospital, Sweden.
Br J Surg. 1993 Mar;80(3):322-4. doi: 10.1002/bjs.1800800318.
This study compares monofilament continuous absorbable sutures with multifilament interrupted absorbable sutures for abdominal closure. Before closure of an abdominal incision, 988 patients were randomized to receive either a monofilament polyglyconate (Maxon) or a multifilament polyglactin 910 (Vicryl) suture. At 1 year after operation, 684 patients (69 per cent) were examined for the presence of incisional hernia, sinus and other wound-healing problems; 179 (18 per cent) had died and 125 (13 per cent) did not attend for follow-up. Incisional hernia occurred in 8 per cent of patients receiving monofilament continuous sutures compared with 6 per cent of those having multifilament interrupted closure (P not significant). Wound dehiscence occurred in 1 per cent of both groups. The mean time for suturing was 7.1 min for monofilament continuous and 8.7 min for multifilament interrupted sutures (P < 0.001). It is concluded that closure of an abdominal incision can be effected by a monofilament continuous absorbable suture more quickly than by multifilament interrupted absorbable sutures without an increased risk of wound dehiscence or incisional hernia.
本研究比较了单丝连续可吸收缝线与多丝间断可吸收缝线用于腹部闭合的效果。在腹部切口闭合前，988例患者被随机分为两组，分别接受单丝聚乙醇酸酯（Maxon）缝线或多丝聚乙交酯910（Vicryl）缝线。术后1年，对684例患者（69%）进行了检查，以确定是否存在切口疝、窦道及其他伤口愈合问题；179例（18%）患者死亡，125例（13%）未接受随访。接受单丝连续缝线的患者中，切口疝发生率为8%，而接受多丝间断缝合的患者为6%（P值无统计学意义）。两组伤口裂开发生率均为1%。单丝连续缝线的平均缝合时间为7.1分钟，多丝间断缝线为8.7分钟（P<0.001）。研究得出结论，腹部切口采用单丝连续可吸收缝线闭合比多丝间断可吸收缝线更快，且不会增加伤口裂开或切口疝的风险。
