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Thu Sep 4 09:59:42 BST 2003

In a message dated 9/3/2003 5:38:36 PM Eastern Daylight Time, 
Matthew.Wilson at cshs.org writes:

> 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
> 

Of course, we should know by now that retention sutures add nothing of any 
proven benefiit to wound closure or to prevention of dehiscence or 
evisceration--if I missed a study, please cite it for us?  If a wound is so difficult to 
close that these are felt necessary, then it shold probably not be closed in the 
first place--if there is no such difficulty, of course then why use 
retentions?
ERF
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abdominal closure...a simple question