Suture Materials in relation to Wound Care in Women Undergoing Gynecological Oncology Operations

Nasr, Ashraf Mohamed; El-Nahas, Eman Mohamed Kamal; Shaaban, Mohamed Ramadan Ali

doi:10.21608/zumj.2024.330796.3661

Suture Materials in relation to Wound Care in Women Undergoing Gynecological Oncology Operations

Document Type : Original Article

Authors

¹ Obstetrics and Gynecology Department, Faculty of Medicine, Zagazig University, Egypt

² Faculty of Obstetrics and Gynecology Department, Faculty of Medicine, Zagazig University, Egyptmedicine zagazig university

10.21608/zumj.2024.330796.3661

Abstract

Background: The post-operative recovery and qulaity of life are impacted by the suture materials and wound closure techniques used. Regarding wound care in female patients following gynecological oncology procedures, one important consideration is believed to be the type of suture material selected for the abdominal wall closure. Therefore, our goal was to compare the wound outcome of various suture types.

Methods: This cohort study was carried out in the oncology unit of obstetrics & gynecology department in Zagazige University Hospitals, Sharkia, Egypt. During abdominal wall closure using mass suture technique, our study included two groups of 36 patients each, one group receiving PDS sutures and the other Vicryl sutures.

Results: Patients in the Vicryl group experienced significantly higher pain severity and longer duration of pain compared to the PDS group. There was a significantly higher rate of wound dehiscence in the Vicryl group. Interestingly, the PDS group had a significantly higher rate of suture sinus formation. The Vicryl group showed a significantly higher rate of incisional hernia formation. Although not statistically significant, there was a trend towards higher infection rates in the Vicryl group.

Conclusion: PDS sutures may offer advantages over Vicryl sutures in terms of postoperative pain, wound dehiscence, and incisional hernia formation in gynecological oncology patients undergoing abdominal wall closure. However, the higher rate of suture sinus formation with PDS warrants further investigation.

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