Evaluation of Different Types of Suture Materials for Midline Abdominal Closure.

Abstract

The prime purpose of a suture is to hold the wound edges together until it has healed sufficiently to withstand stress and strain on its own.The varieties of sutures are increasing day by day and it is posing an important task before surgeons to select an ideal suture material. The aim of this study is to know which suture material is most reliable for midline abdominal closure In terms of delayed absorption,tensile strength and minimal tissue reaction and at the same time cost effective.The suture materials used in this study are Polyglactin 910 (Vicryl),Pyrrolidine-2-carboxylic acid (Proline),Polyamide (Nylone) and Polydioxanone (PDS).The clinical study was carried out in 180 patients devided into three groups.Group 1 consists of 60 clean and uncontaminated cases.Group 2 consists of 80 contaminated and infected cases.Group 3consists of 40 undernourished and cachectic cases.Each group is devided into four subgroups for each suture materials. Total wound complication rate was different for different suture materials in different groups.On clinical evaluation PDS was foud to be suture of choice in group 1 cases,Whearas Nylone is the suture of choice in group 2 and group 3 cases.