Comparative analysis of laparotomy closure techniques

Fedoseev A.V.; Inyutin A.S.; Zhanygulov A.D.; Muraviev S.Yu.; Vinogradov I.I.

doi:https://doi.org/10.17116/hirurgia2017637-40

Fedoseev A.V.

Department of General Surgery, Pavlov Ryazan State Medical University, Ministry of Health of the Russian Federation, Ryazan, Russia

Inyutin A.S.

Ryazan State Medical University named after academician I.P. Pavlov, Department of General Surgery, Ryazan, Russia

Zhanygulov A.D.

Ryazan State Medical University named after academician I.P. Pavlov, Department of General Surgery, Ryazan, Russia

Muraviev S.Yu.

Ryazan State Medical University named after academician I.P. Pavlov, Department of General Surgery, Ryazan, Russia

Vinogradov I.I.

Department of General Surgery, Pavlov Ryazan State Medical University, Ministry of Health of the Russian Federation, Ryazan, Russia

Comparative analysis of laparotomy closure techniques

Authors:

Fedoseev A.V., Inyutin A.S., Zhanygulov A.D., Muraviev S.Yu., Vinogradov I.I.

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Journal: Pirogov Russian Journal of Surgery. 2017;(6): 37‑40

DOI: 10.17116/hirurgia2017637-40

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To cite this article:

Fedoseev AV, Inyutin AS, Zhanygulov AD, Muraviev SYu, Vinogradov II. Comparative analysis of laparotomy closure techniques. Pirogov Russian Journal of Surgery. 2017;(6):37‑40. (In Russ.)
https://doi.org/10.17116/hirurgia2017637-40

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

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Abstract:

Aim. To assess experimentally different laparotomy closure techniques. Material and methods. Experimental research on laboratory animals was performed. Laboratory animals underwent laparotomy followed by aponeurosis suturing by using of interrupted, continuous suture and continuous suture with an arrangement of stitches at different levels. Tensometric and histological examination of tissue specimens together with sutures was made in 7, 14, 60 days after surgery. Results. Correlation of laparotomy closure technique with values of durability, elasticity and wound process course was obtained. Conclusion. Continuous suture after laparotomy promotes the formation of more mature granulation tissue and more solid scar with low elasticity compared with interrupted sutures.

Keywords:

laparotomy

aponeurosis closure

postoperative ventral hernia

Authors:

Fedoseev A.V.

Department of General Surgery, Pavlov Ryazan State Medical University, Ministry of Health of the Russian Federation, Ryazan, Russia

Inyutin A.S.

Ryazan State Medical University named after academician I.P. Pavlov, Department of General Surgery, Ryazan, Russia

Zhanygulov A.D.

Ryazan State Medical University named after academician I.P. Pavlov, Department of General Surgery, Ryazan, Russia

Muraviev S.Yu.

Ryazan State Medical University named after academician I.P. Pavlov, Department of General Surgery, Ryazan, Russia

Vinogradov I.I.

Department of General Surgery, Pavlov Ryazan State Medical University, Ministry of Health of the Russian Federation, Ryazan, Russia

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References:

Vorovskii OO. Morfologicheskaya ocenka vzaimodeistviya kompozitnoi setki s bryushinoi pri abdominoplastike [Morphological evaluation of the interaction of composite meshes with the peritoneum during abdominoplasty]. Nauka molodih — Eruditio Juvenium. [Young science]. 2013;4:54-62. (In Russ.).
Izmajlov SG, Bodrov AA. Sposob ushivanija sredinnyh laparotomnyh ran [The method of repair for midline abdominal wounds]. Hirurgija. Zhurnal imeni N.I. Pirogova [Surgery. The magazine named N.I. Pirogov]. 2005;7:28-32. (In Russ.).
Kuznecov NA, Schastlivcev IV, Caplin SN. Rol' operacionnogo dostupa v razvitii posleoperacionnyh ventral'nyh gryzh [The role of the surgical approach in the development of postoperative ventral hernias]. Hirurgija. Zhurnal imeni N.I. Pirogova [Surgery. The magazine named N.I. Pirogov]. 2011;7: 62-67. (In Russ.).
Sultangaziev RA, Bebezov HS, Nurmanbetov DN, Abirov KJe, Togochuev AA. Operacionnyj dostup i sposob ushivanija perednej brjushnoj stenki u bol'nyh portal'noj gipertenziej [Operating access and method of suturing the anterior abdominal wall in patients with portal hypertension]. Vestnik KRSU [Herald of KRSU]. 2015;15(7):146-148. (In Russ.).
Fedoseev AV, Murav'ev SJu, Budarev VN, Injutin AS, Zacarinnyj VV. Nekotorie osobennosti beloy linii zhivota, kak predvestniki posleoperacionnjy gryzhi. [Some features of the linea alba as harbingers of postoperative hernia] Rossijskij mediko-biologicheskij vestnik imeni akademika I.P. Pavlova. [Russian medical and biological messenger named after academician IP Pavlova]. 2016:1:109-115. (In Russ.).
Jurasov AV. Vybor metoda plastiki posleoperacionnyh ventral'nyh gryzh [The choice of method of plastic postoperative ventral hernias. Annaly hirurgii [Annals of Surgery]. 2010;6:23-27. (In Russ.).
den Hartog D, Dur AH, Kamphuis AG. Comparison of ultrasonography with computed tomography in the diagnosis of incisional hernias. Hernia. 2009;13:1:45-48. doi:10.1007/s10029-008-0420-y
Dur AH, den Hartog D, Tuinebreijer WE. Low recurrence rate of a two-layered closure repair for primary and recurrent midline incisional hernia without mesh. Hernia. 2009;13:4:421-426. doi:10.1007/s10029-009-0487-0
Georgiev-Hristov T, Celdrán A. Comment to: A systematic review of the surgical treatment of large incisional hernia. Hernia. 2015;2:89-101. doi:10.1007/s10029-015-1417-y
Llaguna OH, Avgerinos DV, Lugo JZ. Incidence and risk factors for the development of incisional hernia following elective laparoscopic versus open colon resections. Am J Surg. 2010;199:2:263-265.
Millbourn D, Cengiz Y, Israelsson LA. Effect of stitch length on wound complications after closure of midline incisions: a random ized controlled trial. Arch Surg. 2009;144:11:1056-1059. doi:10.1001/archsurg.2009.189
Rahbari NN, Knebel P, Diener MK et al. Current practice of abdominal wall closure in elective surgery. Is there any consensus? BMC Surg. 2009;15:9:8. doi:10.1186/1471-2482-9-8