Portes CA, Morales OJM, López-Montero M, Albores RNX, Ponce CJA

Language: Spanish
References: 15
Page: 54-60
PDF size: 279.13 Kb.

ABSTRACT

Patients with massive weight loss due to the weakness of the abdominal wall are candidates of abdominoplasty with plication of the rectus abdominis muscle, the surgical procedure most frequently chosen. Plication of the rectus abdominis muscles should be performed with a suture material with a biomechanical strength capable of preserving the tensile force to avoid recurrence of the distal rectus, as well as favoring healing free of microorganisms capable of infecting the surgical site. This prospective, quasi-experimental clinical study compares the use of absorbable suture with and without antibiotic coating to determine the decrease in the incidence of infections at the surgical site with chlorhexidine, inhibiting proliferation and development of common pathogens such as S. aureus and E. coli. We included 12 patients in the control group and 12 in the experimental group. At the same time in vitro, the inhibitory effect of these sutures with and without chlorhexidine in S. aureus and E. coli cultures. Postoperative follow-up of patients in the control and experimental groups with tomographic control was performed to determine the permanence of plication of the rectus muscles at 8 weeks, showing adequate evolution and no clinical data on infection. Plication of the abdominal rectus with absorbable suture poly (lactide-co-glicolide) coated and uncoated chlorhexidine presented a lasting and permanent containment with an optimal functional result. There were no significant differences between both the control and experimental group to demonstrate the effectiveness of the suture with chlorhexidine in surgical site infection. We require a study with a larger sample.

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