Influence of Suture Type on Emergency Midline Laparotomy Closure

Influence of Suture Type on Emergency Midline Laparotomy Closure

There is no clear recommendation in international guidelines regarding the type of suture to be used for closing emergency midline laparotomies. It is recommended to follow the same principles as in elective surgery, thus performing the closure with a continuous suture of slowly absorbable monofilament 2-0 with small-bites technique. Currently, there are several slowly absorbable sutures available on the market, and our center uses two: PDS® and Monomax®. These two sutures are currently used interchangeably at our institution based on the preferences of each surgeon.

Objective: study whether there are differences between these two sutures in the closure of emergency midline laparotomy.

Inclusion Criteria:

• >18 years old, patients undergoing emergency midline laparotomy by the General Surgery Department.

Exclusion Criteria:

• <18 years old, previous midline laparotomy