Evaluation of a Monofile, Ultra-Long Absorbable Suture with High Elasticity for Abdominal Wall Closure Under Daily Clinical Routine MULTIMAC a Prospective Observational Study
Journal of Surgery
Volume 7, Issue 1, February 2019, Pages: 1-7
Received: Oct. 29, 2018; Accepted: Jan. 20, 2019; Published: Feb. 19, 2019
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Petra Baumann, Department of Medical Scientific Affairs, Aesculap AG, Tuttlingen, Germany
Florin Savulescu, Department of Surgery; Central Emergency Military Hospital, Bucharest, Romania
Alexander Ferko, Department of Surgery; University Hospital Hradec Králové, Hradec Kralove, Czech Republic
Cestmir Neoral, Department of Surgery; University Hospital Olomouc, Olomouc, Czech Republ
Moritz Nicolas Wente, Department of Medical Scientific Affairs, Aesculap AG, Tuttlingen, Germany
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Recent meta-analyses have shown that the application of a monofile, late-absorbable suture using a continuous suture technique with a suture-to-wound length ratio of at least 4:1 is the method of choice for the closure of midline laparotomies. Monomax, a new ultra-long term absorbable, high elastic monofilament suture, was approved in 2009 and its safety and efficacy were proven in a selected patient population under controlled conditions for elective midline abdominal wall closure (ISSAAC Study). The present multi-centric, international, prospective observational study is aimed at evaluating the performance of Monomax suture for transverse and midline abdominal wall closure in daily clinical practice even in high risk patients. A total of 200 patients undergoing a primary elective laparotomy using either a midline or transverse incision were examined regarding the frequency of short-term complications (e.g. reoperation due to burst abdomen, wound infection, wound healing disorders), until discharge and 1 month after surgery. Postoperative length of hospital stay was also reported. Frequency of reoperation due to burst abdomen was 2.5% and a wound infection rate of 3.5% was reported up to day of discharge. Seven patients developed a wound healing disorder (3.5%). Average length of postoperative hospital stay was 10.3 days. Our results indicate that the ultra-long term absorbable, elastic monofilament suture is safe and efficient for transverse and midline abdominal wall closure performed under daily clinical routine even in high risk patients.
Abdominal Wall Closure, Laparotomy, Burst Abdomen, Incisional Hernia, Wound Infection, Suture Material
To cite this article
Petra Baumann, Florin Savulescu, Alexander Ferko, Cestmir Neoral, Moritz Nicolas Wente, Evaluation of a Monofile, Ultra-Long Absorbable Suture with High Elasticity for Abdominal Wall Closure Under Daily Clinical Routine MULTIMAC a Prospective Observational Study, Journal of Surgery. Vol. 7, No. 1, 2019, pp. 1-7. doi: 10.11648/j.js.20190701.11
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