Polydioxanone Sutures Instead of Polypropylene Sutures for Abdominal Closure to Prevent Wound Sinuses

Abstract

Abdominal closure after laparotomy takes several weeks to get 80% of its previous strength in this periodthe fascial sheath should be hold by sutures. Several materials used in the abdominal closures but the mostcommon suture used is polypropylene, others used nylon, less common used is absorbable sutures but woundsinus is a complication may fellow the use of non-absorbable sutures. For two years we collect 235 patientsin all of them abdominal wall incision was Pfannenstiel, in 133 patients the incision closed by polypropylene(non-absorbable), for other 102 patients the incision closed by polydioxanone (slow absorbable) the resultwas significant for wound sinus formation in polypropylene group but insignificant for hernia, conclusionof the study the polydioxanone look the same strength of polypropylene and may be without wound sinusformation.