A COMPARATIVE STUDY ANALYSING UNIDIRECTIONAL BARBED SUTURE VS. CONVENTIONAL SUTURE IN THE CLOSURE OF ANTERIOR ABDOMINAL WALL
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Keywords
Barbed Sutures, Abdominal Wall Closure.
Abstract
Background: Barbed sutures revolutionize abdominal wall closure by eliminating knots, evenly distributing tension, reducing closure time, and lowering postoperative pain, complications, and incisional hernia rates. Their self-locking mechanism enhances stability and wound healing outcomes, making them a preferred choice in modern surgical practice. Studies consistently show superior patient comfort, quicker recovery, and higher satisfaction with barbed sutures, marking a significant advancement in surgical closure techniques.
Methods: This was a comparative study of 126 patients undergoing laparotomy in the Department of General Surgery, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, with abdominal closure either with barbed PDS sutures or conventional loop suture in case (63 patients) and control (63 patients).
Results: There was no difference in demographic and preoperative profiles in both groups. The study showed a reduction in the incidence of both hernia at 1 year, surgical site infections, and pain throughout the course of the hospital. Statistical significance was found with respect to the incidence of hernia as well as the reduction of postoperative pain in the barbed suture group when compared to the loop suture group.
Conclusion: Barbed sutures offer benefits in terms of efficiency, reduced pain, and lower complication rates, making them a favourable choice for anterior abdominal wall closures.
References
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All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Dr. Ahmed Inayath Syed
Postgraduate, Department of General Surgery, Vydehi Institute of Medical Sciences, Bangalore, Karnataka, India.
Dr. Ikram Fareed F.
Assistant Professor, Department of General Surgery, Vydehi Institute of Medical Sciences, Bangalore, Karnataka, India.
Dr. Sachin
Assistant Professor, Department of General Surgery, Vydehi Institute of Medical Sciences, Bangalore, Karnataka, India.
Dr. Narayana. V.
Professor, Department of General Surgery, Vydehi Institute of Medical Sciences, Bangalore, Karnataka, India.
Dr. Puja Kumari
Postgraduate, Department of General Surgery, Vydehi Institute of Medical Sciences, Bangalore, Karnataka, India.