TY - JOUR
T1 - Effect of intra-abdominal absorbable sutures on surgical site infection
AU - Watanabe, Akihiro
AU - Kohnoe, Shunji
AU - Sonoda, Hideto
AU - Shirabe, Ken
AU - Fukuzawa, Kengo
AU - Maekawa, Soichiro
AU - Matsuda, Hiroyuki
AU - Kitamura, Masayuki
AU - Matsuura, Hiroshi
AU - Yamanaka, Takeharu
AU - Kakeji, Yoshihiro
AU - Tsujitani, Shunichi
AU - Maehara, Yoshihiko
N1 - Funding Information:
Y. Maehara received a research grant from Johnson & Johnson KK, Japan. The other authors have no conflicts of interest.
PY - 2012/1
Y1 - 2012/1
N2 - Purpose: To establish whether the rates of surgical site infection (SSI) in gastrointestinal surgery are affected by the type of intra-abdominal suturing: sutureless, absorbable material (polyglactin: Vicryl), and silk. Methods: We conducted SSI surveillance prospectively at 25 hospitals. Results: The overall SSI rate was 14.4% (130/903). The SSI rates in the sutureless, Vicryl, and silk groups were 4.8, 14.8, and 16.4%, respectively, without significant differences among the groups. In colorectal surgery, the SSI rate in the Vicryl group was 13.9%, which was significantly lower than that of the silk group (22.4%; P = 0.034). The incidence of deeper SSIs in the Vicryl group, including deep incisional and organ/space SSIs, was significantly lower than that in the silk group (P = 0.04). The SSI rates did not differ among the suture types overall, in gastric surgery, or in appendectomy. Conclusion: Using intra-abdominal absorbable sutures instead of silk sutures may reduce the risk of SSI, but only in colorectal surgery.
AB - Purpose: To establish whether the rates of surgical site infection (SSI) in gastrointestinal surgery are affected by the type of intra-abdominal suturing: sutureless, absorbable material (polyglactin: Vicryl), and silk. Methods: We conducted SSI surveillance prospectively at 25 hospitals. Results: The overall SSI rate was 14.4% (130/903). The SSI rates in the sutureless, Vicryl, and silk groups were 4.8, 14.8, and 16.4%, respectively, without significant differences among the groups. In colorectal surgery, the SSI rate in the Vicryl group was 13.9%, which was significantly lower than that of the silk group (22.4%; P = 0.034). The incidence of deeper SSIs in the Vicryl group, including deep incisional and organ/space SSIs, was significantly lower than that in the silk group (P = 0.04). The SSI rates did not differ among the suture types overall, in gastric surgery, or in appendectomy. Conclusion: Using intra-abdominal absorbable sutures instead of silk sutures may reduce the risk of SSI, but only in colorectal surgery.
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U2 - 10.1007/s00595-011-0024-5
DO - 10.1007/s00595-011-0024-5
M3 - Article
C2 - 22068675
AN - SCOPUS:84857792492
SN - 0941-1291
VL - 42
SP - 52
EP - 59
JO - Surgery Today
JF - Surgery Today
IS - 1
ER -