COMPARISON OF VICRYL AND VICRYL RAPIDE IN SUBCUTICULAR SKIN CLOSURE IN ABDOMINAL SURGERIES A PROSPECTIVE STUDY.

SINGH SUMITOJ; SHARMA SANJEEV; UPPAL ANKUR

Volume : VI, Issue : IV, April - 2017

COMPARISON OF VICRYL AND VICRYL RAPIDE IN SUBCUTICULAR SKIN CLOSURE IN ABDOMINAL SURGERIES A PROSPECTIVE STUDY.

Singh Sumitoj, Sharma Sanjeev, Uppal Ankur

Abstract :

Sutures are the most widely used materials in wound closure in the practice of Surgery. All suture materials are foreign to human tissue and may elicit a tissue reaction such as an inflammatory response that interferes with wound healing and increases the risk of infection. No ideal suture material is available till date.

AIMS– The aim was to study the suitability and advantages of Vicryl Rapide versus Vicryl for subcuticular skin closure in elective abdominal surgeries.

MATERIAL AND METHODS– All the subjects were admitted to undergo an elective abdominal surgery. A total of 50 subjects were taken up for the Study. Patients with clean and clean– contaminated surgical wounds were included. After proper randomisation, the subjects were divided into 2 groups – Group A –The Vicryl group and Group B –The Vicryl Rapide group. Subcuticular skin closure at the end of the surgery was done using 2–0 Vicryl in group A and 2–0 Vicryl Rapide in group B with cutting needle in both groups. Post–operatively the wound was inspected on day 3, 5, 7 and again 3 weeks after surgery.

RESULTS AND CONCLUSIONS– Postoperatively the wounds were observed for signs of inflammation and infection. Each was given a wound score according to the criteria given in the scoring system. The change in the wound score was calculated for each subject. The change in scores were analysed using the Chi–square test and both groups were compared. A conclusion was reached that Vicryl Rapide (Irradiated Polyglactin 910) was a better choice of suture material than Vicryl (Original Polyglactin 910) for subcuticular skin closure in patients undergoing elective abdominal surgeries.