Mehwish Ghafoor, Muhammad Qasim Butt, Afifa Imtiaz, Ahsan Jamil, Maher Sohail Yaseen, Talha Laique.
Comparison between Polydioxanone and Polypropylene Sutures for Incisional Hernia during Midline Incisional Laprotomy Procedure among Pakistani patients.
Pak J Med Health Sci Jan ;14(2):682-4.

Background: Midline incisional laprotomy is a very common surgical procedure adopted during general surgeries. Material employed for wound closure has a strong effect on the post-surgical outcomes including complications. Aim: To determine the superior suture material for abdominal wall closure after surgery among polydioxanone and polypropylene based on the post-operative length of hospital stay and development of incisional hernia. Study design: It was a randomized controlled trial. Methodology: All patients underwent midline incisional laparotomy for both emergency and elective surgical procedures. In current study sample size calculated was 188. 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. The two groups were compared for superior suture material in terms of post-operative complication and hospital stay. All the data was processed by using SPSS v23.0. Results: The mean +- SD age (years) of patients in group-A was 45.8 +- 14.6 and in group-B was 47.8 +- 12.6 with p value of 0.157 which is statistically insignificant. There was significant difference between groups with p-value <0.05 in terms of hospital stay as well as development of incisional hernia. Conclusion: We concluded that development of incisional hernia and length of hospital stay post-operatively due to wound closure was considerably reduced in the polydioxanone group.

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