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01-01-2012 | Original Article

Effect of intra-abdominal absorbable sutures on surgical site infection

Authors: Akihiro Watanabe, Shunji Kohnoe, Hideto Sonoda, Ken Shirabe, Kengo Fukuzawa, Soichiro Maekawa, Hiroyuki Matsuda, Masayuki Kitamura, Hiroshi Matsuura, Takeharu Yamanaka, Yoshihiro Kakeji, Shunichi Tsujitani, Yoshihiko Maehara

Published in: Surgery Today | Issue 1/2012

Abstract

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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Title: Effect of intra-abdominal absorbable sutures on surgical site infection
Authors: Akihiro Watanabe
Shunji Kohnoe
Hideto Sonoda
Ken Shirabe
Kengo Fukuzawa
Soichiro Maekawa
Hiroyuki Matsuda
Masayuki Kitamura
Hiroshi Matsuura
Takeharu Yamanaka
Yoshihiro Kakeji
Shunichi Tsujitani
Yoshihiko Maehara
Publication date: 01-01-2012
Publisher: Springer Japan
Published in: Surgery Today / Issue 1/2012
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-011-0024-5

At a glance: The STEP trials

Springer Medicine

Effect of intra-abdominal absorbable sutures on surgical site infection

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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