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Comparing Complications between Polydioxanone and Polypropylene Sutures during Midline Laparotomy Procedures: Randomized Control Trial

Author(s)
FAISAL SHABBIR Department of Surgery, KMS Medical College, Sialkot-Pakistan
BAHZAD AKRAM KHAN Department of Surgery, Mayo Hospital, Lahore, Pakistan
ASIF SAJJAD Department of Pharmacology, Allama Iqbal Medical College,Lahore-,Pakistan
TALHA LAIQUE Department of Pharmacology, Allama Iqbal Medical College,Lahore-,Pakistan
Abstract
Background: Currently there is no consensus on the superiority of either absorbable or non-absorbable suture materials for abdominal fascial closure. Aim: To determine the superior suture material for abdominal wall closure after surgery among polypropylene and polydioxanone based on the occurrence of post-operative wound infection and pain. It was a randomized controlled trial. Methodology: In current study sample size calculated was 188. Subjects were divided into group-A (n=94) and group-B (n=94). In group-A, incisional wound was closed by polydioxanone suture whereas in group-B, incisional wound was closed by polypropylene suture. Results: The mean±SD age of all enrolled patients in group-A was 45.8±14.6 years. There was significant difference between groups with p-value 0.007 in terms of Postoperative wound infection whereas insignificant difference was seen in terms of Postoperative wound pain. All the data was processed by using SPSS v 23.0. Chi square was used to determine the association of postoperative wound infection and pain with sutures. Conclusion: We concluded that development of wound infection post-operatively was high among patients sutured with polypropylene as compared to polydioxanone group. However, there was no difference among both groups in terms of post-operative pain.
Publication Details
Page(s) 477-479
DOI DOI not available
Published Journal: Pakistan Journal of Medical and Health Sciences, Volume: 15, Issue: 1, Year: 2021

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Keywords
Midline incisional laprotomy, Sutures and Pain., Post-operative wound infection
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