Background: Median laparotomy is the most common approach to the abdominopelvic cavity in patients with gynaecological tumours. Aims: The primary endpoint of the study was to evaluate the onset of incisional hernia. The secondary endpoint was to evaluate the onset of infection, wound dehiscence, wound infection, and scar pain during the post-operative period. Methods: A total of 191 patients were eligible for the study. They were divided into three groups. Group A underwent en bloc closure of the peritoneum and fascia with Premilene suture, Group B en bloc closure of the peritoneum and fascia with Polydioxanone suture, and Group C separate closure of the peritoneum and fascia with single stitches of Ethibond suture. Statistical analysis was performed using the Statistical Software Package for Social Sciences 12.0. Results: Group A and Group B comprised 63 patients, and Group C included 65 patients. The three groups proved homogeneous on statistical analysis (P > 0.05). The statistical analysis did not reveal significant differences between the different suture types and techniques with respect to the incidence of incisional hernia (P > 0.05). Conclusion: In our study, the incidence of incisional hernia was 8%. Randomised patients were homogeneous for sample size and risk factors. No significant differences were found between suture types or techniques. Currently, there is no suture material or technique that can be considered superior to others. When possible, we believe that the best way to prevent incisional hernia is to preserve the integrity of the abdominal wall using minimally invasive techniques.

Randomised prospective study of abdominal wall closure in patients with gynaecological cancer / Berretta, R.; Rolla, M.; Patrelli, T. S.; Piantelli, Giovanni; Merisio, Carla; Melpignano, M.; Nardelli, Gb; BACCHI MODENA, Alberto. - In: THE AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY. - ISSN 0004-8666. - 50(4):(2010), pp. 391-396. [10.1111/j.1479-828X.2010.01194.x]

Randomised prospective study of abdominal wall closure in patients with gynaecological cancer

Berretta R.;PIANTELLI, Giovanni;MERISIO, Carla;BACCHI MODENA, Alberto
2010-01-01

Abstract

Background: Median laparotomy is the most common approach to the abdominopelvic cavity in patients with gynaecological tumours. Aims: The primary endpoint of the study was to evaluate the onset of incisional hernia. The secondary endpoint was to evaluate the onset of infection, wound dehiscence, wound infection, and scar pain during the post-operative period. Methods: A total of 191 patients were eligible for the study. They were divided into three groups. Group A underwent en bloc closure of the peritoneum and fascia with Premilene suture, Group B en bloc closure of the peritoneum and fascia with Polydioxanone suture, and Group C separate closure of the peritoneum and fascia with single stitches of Ethibond suture. Statistical analysis was performed using the Statistical Software Package for Social Sciences 12.0. Results: Group A and Group B comprised 63 patients, and Group C included 65 patients. The three groups proved homogeneous on statistical analysis (P > 0.05). The statistical analysis did not reveal significant differences between the different suture types and techniques with respect to the incidence of incisional hernia (P > 0.05). Conclusion: In our study, the incidence of incisional hernia was 8%. Randomised patients were homogeneous for sample size and risk factors. No significant differences were found between suture types or techniques. Currently, there is no suture material or technique that can be considered superior to others. When possible, we believe that the best way to prevent incisional hernia is to preserve the integrity of the abdominal wall using minimally invasive techniques.
2010
Randomised prospective study of abdominal wall closure in patients with gynaecological cancer / Berretta, R.; Rolla, M.; Patrelli, T. S.; Piantelli, Giovanni; Merisio, Carla; Melpignano, M.; Nardelli, Gb; BACCHI MODENA, Alberto. - In: THE AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY. - ISSN 0004-8666. - 50(4):(2010), pp. 391-396. [10.1111/j.1479-828X.2010.01194.x]
File in questo prodotto:
File Dimensione Formato  
Piantelli Randomised prospective study.pdf

non disponibili

Tipologia: Documento in Post-print
Licenza: NON PUBBLICO - Accesso privato/ristretto
Dimensione 120.77 kB
Formato Adobe PDF
120.77 kB Adobe PDF   Visualizza/Apri   Richiedi una copia

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11381/2402329
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 13
  • ???jsp.display-item.citation.isi??? 10
social impact