Abstract:

BACKGROUND: The healing of abdominal incisions is closely related to the choice of suture, besides patients’ health and the suturing ways to close an abdominal incision.
OBJECTIVE: To investigate the effect of absorbable ploydioxanone II suture (PDS Ⅱ) at the healing of abdominal incisions.
METHODS: Totally 162 patients with rectal cancer were collected from the Second Affiliated Hospital of Zhengzhou University from September 2009 to February 2011, and they were randomly divided into observation group and control group. Patients in the observation group were performed full fascia continuous suture by using PDS Ⅱ, while patients in the control group were performed layering intermittent silk suture. Wound healing in the two groups was compared.
RESULTS AND CONCLUSION: In the observation group, the mean suture time was (13.45 ± 1.46) minutes, and four cases were found wound infection postoperatively, but they were soon healed by dressing with no wound dehiscence and rejection reaction. The mean suture time of the control group was (22.96±1.95) minutes, and 14 cases were found wound infection, among which, wound dehiscence appeared in nine cases and rejection reaction appeared in 11 cases. In the control group, some patients had delayed healing by dressing. There were significant differences between the two groups (P < 0.05). In terms of hospital days, expenses and cases of fat liquefaction, there was no significant difference between the two groups (P > 0.05). These findings suggest that PDS Ⅱ for abdominal incision suture has a shorter operation time, lower rate of incision infection, fewer complications, as well as better clinical effect and security.