Articles: sutures.
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Randomized Controlled Trial
Surgical-site infection after abdominal wall closure with triclosan-impregnated polydioxanone sutures: results of a randomized clinical pathway facilitated trial (NCT00998907).
Wound infections after abdominal surgery are still frequent types of nosocomial infections. Suture materials might serve as a vehicle for mechanical transport of bacteria into the surgical wound. To prevent the contamination of suture material in surgical wounds, triclosan-coated suture materials with antibacterial activity was developed. We here report a prospective randomized pathway controlled trial investigating the effect of triclosan impregnation of polydioxanone sutures used for abdominal wall closure on the rate of surgical-site infections. ⋯ This clinical pathway facilitated trial shows that triclosan impregnation of a 2-0 polydioxanone closing suture can decrease wound infections in patients having a laparotomy for general and abdominal vascular procedures.
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J Minim Invasive Gynecol · Jul 2013
Randomized Controlled TrialBarbed versus standard suture: a randomized trial for laparoscopic vaginal cuff closure.
To compare closure times, cuff healing, and postoperative dyspareunia between barbed and traditional sutures during laparoscopic total hysterectomy. ⋯ Laparoscopic vaginal cuff closure times are similar when using barbed sutures and braided sutures.
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Pediatric emergency care · Jun 2013
Randomized Controlled Trial Comparative StudyComparison of cosmetic outcomes of absorbable versus nonabsorbable sutures in pediatric facial lacerations.
We sought to compare cosmetic outcomes, complication rates, and patient/caregiver satisfaction of absorbable versus nonabsorbable sutures in children. ⋯ Caregiver VAS scores showed NI of FAC, which were also preferred by the caregivers. However, NI for FAC could not be demonstrated by blinded physicians with respect to cosmetic outcomes.
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Surg Laparosc Endosc Percutan Tech · Jun 2013
Randomized Controlled Trial Comparative StudyA comparison of nonabsorbable polymeric clips and endoloop ligatures for the closure of the appendicular stump in laparoscopic appendectomy: a prospective, randomized study.
The aim of this prospective randomized trial was to evaluate the clinical outcomes of hem-o-lok ligation system in laparoscopic appendix stump closure by comparing the endoloop ligature. A total of 53 patients were evaluated in this study (n=26 and 27 for hem-o-lok and endoloop groups, respectively). The mean operation time were shorter in hem-o-lok group than endoloop group (64.7 ± 19.2 vs. 75.4 ± 23, respectively); however, the difference was not significant. ⋯ There was no statistically significant difference in overall nonsurgically or surgically related complications. The mean postoperative hospitalization time was also similar in both groups. Although it is not possible to make general conclusions on basis of such a limited study, in our opinion, closure of the appendix stump with polymeric nonabsorbable clips in laparoscopic appendectomy may be a cheaper and simpler alternative to other widely used methods.
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J Obstet Gynaecol Can · May 2013
Randomized Controlled Trial Comparative StudyA randomized controlled trial of early versus delayed skin staple removal following caesarean section in the obese patient.
To compare wound complications after Caesarean section in the obese patient, following early versus delayed skin staple removal. ⋯ The non-inferiority of early skin staple removal was not demonstrated. Delayed removal of staples should remain the accepted standard in the obese patient following Caesarean section.