Revista medica del Instituto Mexicano del Seguro Social · 2023
[Results of abdominal wall closure using the 4:1 suture/wound lenght technique].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Córdova-Velázquez Carlos Alberto, Rodríguez-Espino Enrique Jesús, Martín-Bufajer Juan Manuel, Servín-Torres Erick, Lerma-López Natalia Guadalupe
Аннотация
BACKGROUND: Laparotomy is a daily procedure for the general surgeon and its main complication is the formation of hernias.
OBJECTIVE: To determine if the suture length to wound length ratio 4:1 for wall closure decreases the incidence of hernia.
MATERIAL AND METHODS: Data from patients (n = 86) in whom abdominal wall closure was performed from August 2017 to January 2018 were prospectively reviewed. Patients who could not undergo adequate follow-up, those managed with open abdomen, or those with use of non-absorbable suture materials were excluded. 2 groups were formed: in one, the suture length to wound length ratio 4:1 technique was used as wall closure, and in the other it was used conventional suture; the length of the wound-suture length was measured, and the follow-up was post-surgical. For statistical analysis it was used descriptive statistics and inferential statistics (chi-squared and Mann-Withney's U).
RESULTS: The 2 groups had similar characteristics in all the inclusion criteria. There was a statistically significant difference in dehiscence and hernias. For both complications, the 4:1 suture is a protective factor. For the first it was obtained: p = 0.000, relative risk (RR) 0.114 with 95% confidence interval (95% CI) 0.030-0.437, and for the second, p = 0.000, RR .091, 95% CI 0.027-0.437.
CONCLUSIONS: Abdominal wall closure using 4:1 suture/wound length was shown to decrease the incidence of hernia.
OBJECTIVE: To determine if the suture length to wound length ratio 4:1 for wall closure decreases the incidence of hernia.
MATERIAL AND METHODS: Data from patients (n = 86) in whom abdominal wall closure was performed from August 2017 to January 2018 were prospectively reviewed. Patients who could not undergo adequate follow-up, those managed with open abdomen, or those with use of non-absorbable suture materials were excluded. 2 groups were formed: in one, the suture length to wound length ratio 4:1 technique was used as wall closure, and in the other it was used conventional suture; the length of the wound-suture length was measured, and the follow-up was post-surgical. For statistical analysis it was used descriptive statistics and inferential statistics (chi-squared and Mann-Withney's U).
RESULTS: The 2 groups had similar characteristics in all the inclusion criteria. There was a statistically significant difference in dehiscence and hernias. For both complications, the 4:1 suture is a protective factor. For the first it was obtained: p = 0.000, relative risk (RR) 0.114 with 95% confidence interval (95% CI) 0.030-0.437, and for the second, p = 0.000, RR .091, 95% CI 0.027-0.437.
CONCLUSIONS: Abdominal wall closure using 4:1 suture/wound length was shown to decrease the incidence of hernia.