A prospective trial of layered versus mass closure of laparotomy wounds was performed on 507 infants and children over a 33 month period. All wounds were sutured using polyglycolic acid sutures. There were four wound failures including one disruption in the layered closure group and one wound failur
Layered and mass closure of the abdominal wall, A theoretical and experimental analysis
β Scribed by H. A. F. Dudley
- Publisher
- John Wiley and Sons
- Year
- 1970
- Tongue
- English
- Weight
- 423 KB
- Volume
- 57
- Category
- Article
- ISSN
- 0007-1323
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β¦ Synopsis
Single-and two-layer closure with monofilament steel have been compared in theory and in an experimental model. There are theoretical reasons for believing that single-layer closure should be more resistant to early disruption.
The results show the hypothesis to be sustained. Wound closure with a single layer is, however, associated with lower intrinsic strength at 8 days, possibly because of the laying down of less effectively orientated collagen.
The final intrinsic strength of one-and two-layer closure is the same.
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