A comparative clinical study of post- operative wound complications using Prolene, PDS ll and PDS plus
Dr. Puneet Tyagi, Dr. Mohammed Raza
Approximately 700,000 open abdominal procedures are performed annually in Germany and 4,000,000 in the United States. Incidence (annual) of abdominal surgery around the world is 25 per 10000. Development of incisional hernia remains the major postoperative wound complication after open abdominal surgery with a stable incidence of 5% to 24% over the last decades. Prolene is amongst the common materials used for closure of abdominal incision. The introduction of PDS and PDS plus for closure of abdominal incisions has completely changed the scenario in form of surgical site infections. The study aims to identify the best suture material with least post-operative wound complication. Selection of patients was on basis of inclusion and exclusion criteria. Patients who undergo elective and emergency abdominal surgeries were taken in the study and compared based on the type of suture material used from post-operative day one, patient accessed for complications related to incision like Infection, dehiscence, sinus, incisional hernia and pain. Examination of wound on fifth post-operative day, stitch removal on 9 day with follow up on first month, second month and sixth months. In our study the result were compared with previous studies done. Prolene, PDS II and PDS plus were equally effective for closure of midline wound following laparotomy closed by continuous running technique except the rate of infection with PDS plus due to presence of antiseptic (3.3% in PDS plus and 26.7% in PDS II). However use of PDS plus is not cost effective and therefore requires further studies to be conducted to evaluate the availability, cost effectiveness and measurement of health related quality of life.