Comparative evaluation of operative wound closure techniques in urgent surgery

Andreĭchuk K.A.

Vserossiĭskiĭ tsentr ékstrennoĭ i radiatsionnoĭ meditsiny im. A.M. Nikiforova MChS Rossii, Sankt-Peterburg

Postnov A.A.

Vserossiĭskiĭ tsentr ékstrennoĭ i radiatsionnoĭ meditsiny im. A.M. Nikiforova MChS Rossii, Sankt-Peterburg

Andreĭchuk N.N.

Sankt-Peterburgskiĭ nauchno-issledovatel'skiĭ institut skoroĭ pomoshchi im. I.I. Dzhanelidze

Comparative evaluation of operative wound closure techniques in urgent surgery

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Andreĭchuk K.A., Postnov A.A., Andreĭchuk N.N.

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2013;6(2): 40‑46

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To cite this article:

Andreĭchuk KA, Postnov AA, Andreĭchuk NN. Comparative evaluation of operative wound closure techniques in urgent surgery. Russian Journal of Cardiology and Cardiovascular Surgery. 2013;6(2):40‑46. (In Russ.)

Подписка 2025-2 (Russian Journal of Cardiology and Cardiovascular Surgery)

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Techniques of aponeurosis and muscle tissue closure after midline laparotomy or retroperitoneal approaches during urgent surgical operations are comparatively evaluated. Basing on the results of treatment and observation at terms up to 45 weeks advantages of uninterrupted suture with absorbing monofilament suture material (MonoMax fibers, BBraun, Germany) compared with traditional nodular lavsan or caprone sutures were revealed. These advantages are related to decreased frequency of postoperative hernias (p=0.047), especially in long terms (p=0.0137), risk for suture inconsistency (p=0.017) and tempo of the final stage of operation (p<0.001).

Keywords:

acute diseases of aorta

urgent surgery

postoperative hernia

aponeurosis closure

suture material

Authors:

Andreĭchuk K.A.

Vserossiĭskiĭ tsentr ékstrennoĭ i radiatsionnoĭ meditsiny im. A.M. Nikiforova MChS Rossii, Sankt-Peterburg

Postnov A.A.

Vserossiĭskiĭ tsentr ékstrennoĭ i radiatsionnoĭ meditsiny im. A.M. Nikiforova MChS Rossii, Sankt-Peterburg

Andreĭchuk N.N.

Sankt-Peterburgskiĭ nauchno-issledovatel'skiĭ institut skoroĭ pomoshchi im. I.I. Dzhanelidze

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