ArticleCureus2025
Evaluation of Wound Closure Outcomes Using Barbed Delayed Absorbable Polydioxanone Sutures After Emergency Laparotomy: An Observational Study.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
2 citing papers in PubMed.
- Early outcomes of contaminated midline incisional hernia repair with mesh suture.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Primary umbilical malignant melanoma requiring full-thickness abdominal wall resection and reconstruction with autologous fascia lata: a case report.Case reports in plastic surgery & hand surgery · 2025Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesThere is much debate regarding the ideal suture material for the closure of emergency midline laparotomy wounds. The novel barbed delayed absorbable suture is designed to overcome the shortcomings of conventional suture materials. We conducted a study in 140 patients undergoing emergency laparotomy where barbed delayed absorbable suture was used for rectus sheath closure and observed the time taken for closure and the incidence of postoperative complications like surgical site infection, wound dehiscence, suture sinus formation, and incisional hernia.
methodsBarbed delayed absorbable (polydioxanone) suture was used for rectus sheath closure of 140 patients undergoing emergency laparotomy using a 4:1 ratio of suture to wound length. Postoperative complications were observed.
resultsSurgical site infection occurred in 40% (56 out of 140) of patients. By postoperative day 8, 70.7% (99 out of 140) of patients had a healthy suture line, 23.6% (33 out of 140) required skin sutures to be opened, and 5.7% (8 out of 140) had burst abdomen. One patient (0.7%) developed suture sinus formation, and five patients (3.6%) were diagnosed with incisional hernia at six months. INTERPRETATION AND
conclusionBarbed delayed absorbable suture can be used for emergency laparotomy wound closure with satisfactory outcomes. It allows faster wound closure without the need for an assistant.
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