Original scientific paper
Efficacy of Antimicrobial Triclosan-Coated Polyglactin 910 (Vicryl* Plus) Suture for Closure of the Abdominal Wall after Colorectal Surgery
Žarko Rašić
Dragan Schwarz
Višnja Nesek Adam
Marko Sever
Nermin Lojo
Domagoj Rašić
Tomislav Matejić
Abstract
This study compared Triclosan coated polyglactin 910 (Vicryl* Plus) with polyglactin 910(Vicryl*) on abdominal
wall healing in colorectal surgery patients. 184 patients with colorectal cancer were included in the study. In 91, the abdominal
wall was closed with the Vicryl* Plus, and in 93 patients with Vicryl*. Demographic characteristics, biochemical
inflammatory parameters, wound appearance, length of hospital stay, postoperative wound complications and postincisional
hernia were recorded. In the Vicryl* Plus group there was a shorter hospital stay (13.2±1.3 days; 21.4±2.8
respectively). In the Vicryl* Plus group inflammatory parameters decreased to normal within the first week whereas in
the Vicryl* group remained increased. In the Vicryl* Plus group four patients had a wound discharge, seven had inflammatory
reactions to the skin sutures. One dehiscence was noticed. In the Vicryl* group 12 patients had an SSI, 14 patients
had inflammatory reactions to the skin sutures and 7 patients had a wound dehiscence. Closure of the abdominal
wall using Vicryl*Plus decreases postoperative wound complications, length of hospital stay and is associated with a
more rapid return of inflammatory markers to normal.
Keywords
Vicryl; Vicryl* Plus; abdominal wall closure; surgical site infection
Hrčak ID:
69122
URI
Publication date:
24.6.2011.
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