Comparison of the effect of two kinds of suture methods for second laparotomy incisions

Objective To investigate the second laparotomy abdominal transverse incision suture method better.Methods Secondary abdominal surgery patients to meet the requirements of 150 cases removal of the original scar,according to the skin,subcutaneous suture divided into two different species ompared the healing of the incision.A group of 80 cases of subcutaneous fat,2/0 absorbable interrupted suture line,3/0 absorbable suture line intradermal continuous suture;B group of 70 patients,with 2/0 absorbable interrupted full-thickness closure of subcutaneous fat and skin.Results A group of exudates in 5 cases,20 cases of subcutaneous indurations,no skin incision dehiscence,healing accounted for 31.25%;B group effusion in 10 cases,25 cases of subcutaneous indurations,one case of dehiscence,healing accounted for 51.43%;A group of 42 d after the incision scar incidence(6%vs.8%,P = 0.000) are lower than B group.Conclusion Secondary abdominal surgery abdominal transverse incision can be sutured subcutaneous fat absorption lines,intradermal continuous suture,a low incidence of wound healing and the advantages of rapid recovery,shorter hospital stay,is a better second laparotomy transverse abdominal incision suture method.