abdominal closure...a simple question

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Dehiscences occur because of several well elaborated reasons; tension being
the most prevelent.  Multi-traumatized patients have systemic ischemia to
add insult.  For these two reasons retention suture is still a good idea.
There are two current practices.  Use the PDS and add 0 vicryl interrupted
suture every 4-5cm as an "internal retention" suture. If there is a
dehiscence, it will be localized to the area between the "0 vicryl" The
other pratice is well established which is the standard "0 nylon wide
abdominal wall" external retention suture.  Good Luck

> ----------
> From: 	JPCUT2CURE at aol.com[SMTP:JPCUT2CURE at aol.com]
> Reply To: 	Trauma & Critical Care mailing list
> Sent: 	Wednesday, September 03, 2003 1:53 PM
> To: 	trauma-list at trauma.org
> Subject: 	abdominal closure...a simple question
> 
> Greetings
> 
> We routinely use 0 looped PDS for fascial closure.  We have had a "run" of
> fascial dehiscences.  These patients dont have increased IAP by bladder
> pressures.  
> 
> My questions are:
> 
> 1-  what is everyone using for closure
> 2-  has anyone had problems with running 0 looped PDS
> 
> Thanks
> 
> john porter
> university of arizona
> 
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