[Preliminary effects of closing surgical incision with needleless incision and non-suturing subcutaneous tissue in abdominal oncological surgery].

OBJECTIVE: To observe the preliminary effects of closing surgery incision with needleless incision and leaving subcutaneous tissue non-sutured in the operations of abdominal tumor. METHODS: There were 52 patients (33 males and 19 females) undergoing abdominal tumor operations between April 2012 and September 2012. Abdominal incision was sutured by a new method of leaving subcutaneous tissue non-sutured closing with a needleless incision close. As a control, the clinical data of 68 patients (47 male and 21 females) received similar operations between April 2011 and September 2011. Abdominal incision was sutured by a traditional method of suturing subcutaneous tissue and skin layer-by-layer. The intergroup incidence of poor healing incident was analyzed by χ(2) test. Risk factors of poor healing were analyzed by Logistic regression analysis. RESULTS: No significant difference existed between the new method group and the traditional group as to poor healing of incision (11.54% (6/52) vs 5.88% (4/68), P = 0.2666). Age (OR = 0.918,95% CI:0.224-3.764), gender(OR = 1.371,95% CI:0.364-5.163), wound length(OR = 2.567,95% CI:0.52-12.665), preoperative diabetes(OR = 1.469,95% CI:0.286-7.554), postoperative serum albumin(OR = 0.536,95% CI:0.108-2.655), laparoscopic surgery(OR = 0.390,95%CI:0.079-1.922)and suturing method(OR = 0.479,95% CI:0.128-1.795) were not risk factors of poor healing. The mean operation duration was 15 min shorter in the new method group than that in the traditional method group. There was no occurrence of scar at either side of incision. CONCLUSIONS: The new abdominal incision closing method does not increase the incidence of poor healing. And this time-saving procedure shows potential cosmetic outcomes.