Effect of Using Triclosan-Impregnated Polyglactin Suture to Prevent Infection of Saphenectomy Wounds in CABG: A Prospective, Double-Blind, Randomized Clinical Trial.

OBJECTIVE: To evaluate the efficacy of triclosan-coated suture for the reduction of infection in saphenectomy wounds of patients undergoing coronary artery bypass graft (CABG) surgery. METHODS: A total of 508 patients who underwent saphenectomy in CABG surgery were included in a prospective, randomized, double-blind trial from February/2011 to June/2014. Patients were randomized into the triclosan-coated suture group (n= 251) and the conventional non-antibiotic suture group (n=257). Demographic (gender and age), clinical (body mass index, diabetes, and use of analgesics), and intraoperative (cardiopulmonary bypass and cross-clamp times) variables and those related to the saphenectomy wound (pain, dehiscence, erythema, infection, necrosis, and hyperthermia) were measured and analyzed. RESULTS: Of the 508 patients who underwent saphenectomy, 69.9% were males and 40.2% were diabetic. Thirty-three (6.5%) patients presented infection: 13 (5.3%) with triclosan and 20 (7.9%) with conventional suture (P=0.281). Among diabetic patients (n=204), triclosan suture was used in 45.1% with four cases of infection; conventional suture was used in 54.9% of them, with 11 cases of infection. Most patients (94.3%) underwent on-pump CABG. Wound pain was observed in 9.9% of patients with triclosan-coated suture and in 17.9% with conventional suture (P=0.011). Wound hyperthermia was found in 1.6% of patients with triclosan-coated suture and in 5.4% of those with conventional suture (P=0.028). CONCLUSION: Triclosan-coated suture shows lower infection rate in saphenectomy of patients undergoing CABG, although the differences were not statistically significant. Pain and wound hyperthermia were less frequent in patients with triclosan-coated sutures compared with conventional sutures.

Effect of using triclosan-impregnated polyglactin suture to prevent infection of saphenectomy wounds in cabg: a prospective, double-blind, randomized clinical trial

Abstract Objective: To evaluate the efficacy of triclosan-coated suture for the reduction of infection in saphenectomy wounds of patients undergoing coronary artery bypass graft (CABG) surgery. Methods: A total of 508 patients who underwent saphenectomy in CABG surgery were included in a prospective, randomized, double-blind trial from February/2011 to June/2014. Patients were randomized into the triclosan-coated suture group (n= 251) and the conventional non-antibiotic suture group (n=257). Demographic (gender and age), clinical (body mass index, diabetes, and use of analgesics), and intraoperative (cardiopulmonary bypass and cross-clamp times) variables and those related to the saphenectomy wound (pain, dehiscence, erythema, infection, necrosis, and hyperthermia) were measured and analyzed. Results: Of the 508 patients who underwent saphenectomy, 69.9% were males and 40.2% were diabetic. Thirty-three (6.5%) patients presented infection: 13 (5.3%) with triclosan and 20 (7.9%) with conventional suture (P=0.281). Among diabetic patients (n=204), triclosan suture was used in 45.1% with four cases of infection; conventional suture was used in 54.9% of them, with 11 cases of infection. Most patients (94.3%) underwent on-pump CABG. Wound pain was observed in 9.9% of patients with triclosan-coated suture and in 17.9% with conventional suture (P=0.011). Wound hyperthermia was found in 1.6% of patients with triclosan-coated suture and in 5.4% of those with conventional suture (P=0.028). Conclusion: Triclosan-coated suture shows lower infection rate in saphenectomy of patients undergoing CABG, although the differences were not statistically significant. Pain and wound hyperthermia were less frequent in patients with triclosan-coated sutures compared with conventional sutures.

Short-term evaluation of an intra-articular technique for cranial cruciate ligament rupture in dogs using nylon or polyester / Avaliação a curto prazo da técnica intra-articular utilizando fio de náilon ou poliéster para correção da ruptura do ligamento cruzado cranial em cães

Cranial cruciate ligament rupture (CCrLR) is a common condition found in the small animal routine, being correlated to traumas, obesity, genetic factors, and primary osteoarthritis (OA) in dogs. Affected animals show articular instability that, if not corrected surgically, may cause secondary OA and loss of limb function. The aim of this study was to compare short-term results of the intra-articular technique for knee stabilization after CCrLR using a surgical button associated with polyester yarn (Group A), the surgical button associated with nylon yarn (Group B), and surgical toggle associated with polyester yarn (Group C). Eighteen dogs presenting CCrLR, weight varying from 5 to 35 kg, and different sex and breed were divided into three groups of six individuals. OA radiographic grade, pre- and post-operative lameness, surgical time, and the macroscopic aspect of cartilage were assessed. The intra-articular technique was performed by passing a suture through two tunnels, drilled in the femoral condyle and tibial crest to stabilize the knee joint. Twelve animals presented a decreased lameness and normal limb function after 15 days. On the other hand, four dogs from Group B presented complications: two dogs had suture rupture after 30 days and other two showed muscular contracture with decreased range of motion, followed by loss of limb function. In Group A, one dog showed...(AU)

A Ruptura do Ligamento Cruzado Cranial (RLCCr) é uma afecção comumente vista na clínica de pequenos animais e, nos cães, pode ser decorrente de traumas, obesidade, fatores genéticos e osteoartrite (OA) primária. Todos os casos apresentam instabilidade articular e quando não tratados podem evoluir para OA secundária e perda funcional do membro. O objetivo do presente trabalho foi comparar os resultados, a curto prazo, da técnica intra-articular utilizando o botão cirúrgico associado ao fio de poliéster 5 (Grupo A), botão cirúrgico associado ao fio de náilon 5 (Grupo B), e grampo cirúrgico associado ao fio de poliéster 5 (Grupo C), para a estabilização da articulação do joelho após a RLCCr. Foram utilizados 18 cães com RLCCr, com peso variando entre 5 e 35 kg, com raça e sexo aleatórios. Os cães foram aleatoriamente divididos em três grupos de 6 indivíduos. Foram avaliados o grau de OA radiográfico, grau de claudicação pré e pós-operatório, o tempo cirúrgico e o aspecto macroscópico da cartilagem. Foi realizada a técnica cirúrgica intra-articular, utilizando-se fio para estabilização através de dois túneis cirúrgicos, um no côndilo lateral do fêmur e outro na crista da tíbia. Doze animais evoluíram de forma favorável, recuperando o apoio normal do membro após 15 dias da cirurgia. Quatro animais do grupo B apresentaram complicações sendo duas rupturas do fio após 30 dias de...(AU)

Nylon, fibrin glue and Vicryl®- the graft fixation techniques in the conjunctival autotransplant for the treatment of primary pterygium / Nylon, cola de fibrina e Vicryl® - Avaliação da fixação do enxerto no autotransplante conjuntival para tratamento do pterígio primário

Abstract Objective: to compare nylon, fibrin glue and Vicryl® in the conjunctival autograft for treatment of primary pterygium. Methods: Prospective study approved by the Ethics Committee following the Declaration of Helsinki. 89 eyes were underwent pterygium excision and conjunctival autograft. They were grouped according to the technique: fibrin glue, nylon 10-0 and 8-0 Vicryl® and followed up for 3 months. Surgical Time, intra and postoperative symptoms, biomicroscopic signs, ocular discomfort ( by Visual Analogue Scale), aesthetic appearance and recurrences (day 21, 90 and 3 years) were evaluated. Results: The operative time was shorter with the fibrin glue (p<0.001). As to intraoperative symptomatology, burning sensation predominated with Vicryl® (p=0,012). The postoperative symptoms and signs: on day 1- secretion with fibrin glue (p=0.02), foreign body sensation (p=0.017) and subconjunctival hemorrhage (p=0.022) with Vycril®; on day 7- chemosis (p=0.035), hyperemia (p<0.001) and eyelid edema (p=0.011) with Vicryl®; on day 21-foreign body sensation (p=0.001) and conjunctival hyperemia (p<0.001) with nylon; on day 90- dry eye (p=0.005) with Vicryl®. Ocular discomfort was greater with Vycril® (p=0.015) on day 7. Final aesthetic appearance was superior with fibrin glue (p=0.003). The recurrences was greater on day 90: 20,7%(nylon), 10%(fibrin glue) and 19%(Vicryl®) (p=0.496) and after 3 years: 4.8% in NG, 0% in FGG, and 5.3% in VG (p=0.536). Conclusion: Fibrin glue showed efficacy, rapidity, less postoperative discomfort and better final aesthetic appearance. Vicryl® showed significant intraoperative and early postoperative symptoms and obvious signs of inflammation, beside ocular discomfort on day 7. Nylon caused more foreign body sensation and conjunctival hyperemia until its removal. The signs of recurrence were similar among the groups.

Resumo Objetivo: comparar o nylon, a cola de fibrina e o Vicryl® no autotransplante conjuntival para o tratamento do pterígio primário. Métodos: estudo prospectivo aprovado pelo Comitê de Ética seguindo a Declaração de Helsinque. 89 olhos foram submetidos à excisão de pterígio e autotransplante conjuntival, agrupados conforme as técnicas: nylon 10-0, cola de fibrina, e Vicryl® 8-0, acompanhados por 3 meses. Tempo cirúrgico, sintomas intra e pós-operatórios, sinais biomicroscópicos, desconforto ocular (Escala Analógica Visual), aspecto estético, recorrências no 21º e 90º dia pós-operatório e aos 3 anos. Resultados: O tempo operatório foi menor com a cola de fibrina e maior com Vicryl® (p<0,001). Sintomatologia intra-operatória: a ardência predominou com Vicryl® (p=0,012). Sintomas e sinais pós-operatórios significativos: no 1º dia, secreção com cola de fibrina (p=0,02), sensação de corpo estranho (p=0,017) e hemorragia subconjuntival (p=0,022) com Vycril®; No 7º dia - quemose (p=0,035), hiperemia (p<0,001) e edema da pálpebra (p=0,011) com Vicryl®; No 21º dia - sensação de corpo estranho (p=0,001) e hiperemia conjuntival (p<0,001) com nylon; No 90º dia - olho seco (p=0,005) com Vicryl®. Desconforto ocular: maior com Vycril® (p=0,015) no 7º dia. Aparência estética final: melhor com a cola (p=0,003). Sinais de recidiva: maior no 90º dia: 20,7%(nylon), 10%(cola) e 19%(Vicryl®) e após 3 anos: 4,8%(nylon), 0%(cola) e 5.3%(Vicryl®) (p=0,536). Conclusão: A cola de fibrina mostrou eficácia, rapidez, menor desconforto pós-operatório e melhor aspecto estético; o Vicryl®, maiores sintomas intraoperatórios, pós-operatórios iniciais e sinais evidentes de inflamação, aliados ao desconforto ocular no 7º dia; o nylon, mais sensação de corpo estranho e hiperemia conjuntival até sua remoção. Os sinais de recidiva foram semelhantes entre os grupos.

Uso exclusivo de fios absorvíveis em fendas labiopalatais / Exclusive use of absorbable suture threads in cleft lip and palate

INTRODUÇÃO: O tratamento de fendas labiopalatais tem etapas que podem trazer traumas psicológicos consideráveis aos pacientes e familiares. O uso de fios absorvíveis pode eliminar um destes momentos desconfortáveis. Contudo, a utilização exclusiva deste tipo de material de síntese ainda não é a preferência de todos os cirurgiões, principalmente em planos musculares. MÉTODOS: Levantados os dados dos pacientes operados no Hospital Universitário da Universidade Federal do Rio de Janeiro, submetidos à correção de fendas labiais ou palatais, nas quais foram utilizados somente fios absorvíveis (poliglecaprona 25 - Monocryl® ou poliglactina 910 - Vicryl Rapide®) em todos os panos de sutura (mucosa, músculo, pele). O período avaliado foi de 2007 a 2014. RESULTADOS: Encontramos 360 pacientes que se enquadraram no estudo. Não observamos diferenças quanto ao aspecto local das feridas durante o processo de absorção dos fios. A incidência de deiscências ou fístulas se manteve abaixo de 1% e não houve complicações relacionadas ao objetivo do estudo. As cicatrizes não se mostraram, a longo prazo, diferentes das obtidas com o uso de fios inabsorvíveis, utilizados em outros tipos de cirurgias. CONCLUSÕES: O uso exclusivo destes fios absorvíveis se mostrou uma opção eficaz e segura. Proporcionou cicatrizes de boa qualidade, força tênsil adequada (mesmo em planos musculares) e não observamos complicações relacionadas ao processo de absorção dos materiais empregados.

INTRODUCTION: The treatment of orofacial clefts comprises steps that may result in considerable psychological trauma for patients and their caregivers. The use of absorbable sutures may help to eliminate these uncomfortable situations. However, the exclusive use of this synthetic material is still not preferred by surgeons, particularly in the muscle planes. METHODS: Data from patients who underwent surgery at the University Hospital of the Federal University of Rio de Janeiro from 2007 to 2014 were used. The patients underwent correction of cleft lip or palate, using only absorbable sutures (poliglecaprone 25 - Monocryl® or polyglactin 910 - Vicryl Rapide®) in all suture planes (mucosa, muscle, skin). RESULTS: We found 360 patients who met the inclusion criteria for this study. We did not observe differences in terms of the local appearance of the wounds during the suture absorption process. The incidence of dehiscence or fistula cases was below 1%, and there were no complications regarding the objectives of the study. In the long term, the scars did not differ from those obtained with non-absorbable sutures used in other types of surgeries. CONCLUSIONS: The exclusive use of absorbable sutures was shown to be an efficient and safe option. These resulted in good quality scars and adequate tensile strength (even in muscle planes), and we did not observe complications related to the absorption process of the material used.

Poliglactina 910 e adesivo n-butil-2-cianoacrilato na gastrorrafia em ratas Wistar / Polyglactin 910 and n-butyl-2-cyanoacrylate glue in Wistar rats gastric synthesis

Avaliou-se o uso do adesivo de n-butil-2-cianoacrilato em gastrorrafias, investigando macroscopicamente possíveis vazamentos e formação de aderências, além de avaliação histológica, bem como compará-lo comum método de sutura tradicional com fio absorvível sintético. Foram utilizadas 24 ratas wistar, separadas em dois grupos de 12 animais, A e B, as quais foram submetidas à gastrotomia experimental. A gastrorrafia nos animais do grupo A foi realizada com adesivo de n-butil-2-cianoacrilato, do grupo B, com padrão de sutura invertido de Cushing e poliglactina 910 5.0. Os animais foram avaliados clínica, macroscópica e histologicamente, com o sacrifício de dois animais de cada grupo aos 2,4,6,8,10 e 12 dias de pós-operatório. Microscopicamente, provocam menor reação inflamatória e maior proliferação de tecido conjuntivo que a sutura com poliglactina 910. O adesivo de n-butil-2-cianoacrilato permite menor trauma tecidual e tempo cirúrgico quando comparado com a sutura.AU

It was tested the use of n-butyl-2-cyanoacrylate glue in gastric synthesis, investigated included possible leakage and, adhesion formation, in addition histological examination, further more comparated with one method of the synthetic absorbable sutures. I was used 24 Wistar rats, separated in two groups, A and B,which was suffered experimental gastrotomy. The gastric synthesis of the A animals group, was done with n-butil-2-cianoacrilato glue and, the B group, with inverted Cushing suture and polyglactin 910 5.0. The animals was avaliated clinic, macro and histologicaly, with the sacrifice of the two animals by group in the 2,4,6,8,10 and 12 post operative days. In microscopic evaluation at four and six days after surgery, offer a low inflamatory reaction and a higher connective tissue production that polyglactin suture. The n-butyl-2-cyanoacrylate adhesive praise a low tissue trauma and surgery time when comparated with the suture.AU

[A study of the applicability of biological adhesives to the insertion of an external ocular muscle in rabbits--II. Experiment II--Measurement of the distances from the nasal and temporal muscles to the limbus and of the extent of tissue adhesion]. / Estudo sobre a aplicabilidade de adesivos biológicos à reinserção de músculo ocular externo em coelhos--II. Experimento II--Medida das distâncias das bordas nasal e temporal do músculo ao limbo e da extensão da adesão tecidual.

PURPOSE: Measure the extent of mioscleral adhesion on the fortieth postoperative day. METHODS: Fifteen New Zealand rabbits were divided into three groups of five rabbits. They were operated on to server the insertion of the rectus muscle in the eye and then to reinsert it. Group SP, polyglactin (Vicryl) was used as control. In group AF, fibrin adhesive (Beriplast-P) was used, and in group AC, cyanoacrylate adhesive (Histoacryl). Before severing muscle insertion, the distances between the muscle attachments of the limbus to the medial and lateral borders were measured. After forty-five days, the operation was again performed and the measurements were taken once more. RESULTS: There was no significant difference between the studied adhesives in terms of tissue adhesion and of the distances from the muscle to the limbus before and after surgery. CONCLUSION: The found tissue adhesion was probably due to the scarring process and was not dependent on the studied materials.

Use of the n-butyl cyanoacrylate adhesive and the polyglactine thread suture for corneal rhaphy in rabbit (Oryctolagus cunicullus).

The aim of this study was to evaluate the cicatricial repair of perforating cornea in rabbits, by using the N-butyl cyanoacrylate adhesive compared to the 910-polyglactine thread suture through macroscopic and histological assays. Corneas from 18 adult rabbits were perforated and subsequently occluded with N-butyl cyanoacrylate synthetic adhesive (right cornea) or by separated single points using the 910-polyglactine thread (left cornea). The rabbits were divided into groups containing three animals per group. Examination after 7, 15, and 30 days post-operative showed that both the synthetic adhesive and the suture were efficient in the occlusion of the surgical wounds, thus stabilizing the intra-ocular content. The N-butyl cyanoacrylate adhesive was shown to be superior to the 910-polyglactine suture thread with regards to the evolution and the organization of the healing process.

Principios fundamentales en regeneración ósea; su aplicación para implantes endoóseos: parte II / Fundamental principles in bone regeneration; its application for endoosseous implants: 2nd part

El presente y futuro de la ROG apuntan a la simplificación de la técnica utilizando membranas reabsorbibles y biomateriales que sustituyen el hueso autólogo, e intentando obtener los mismos resultados que con la técnica antes mencionada. Los límites de la implantología se están acabando con el advenimiento de este joven capítulo de ROG, cuyos objetivos reparador y restaurador del sistema incrementan en importancia debido al fracaso y la insuficiencia de los primeros niveles de prevención en nuestra odontología

Principios fundamentales en regeneración ósea; su aplicación para implantes endoóseos: parte II / Fundamental principles in bone regeneration; its application for endoosseous implants: 2nd part

El presente y futuro de la ROG apuntan a la simplificación de la técnica utilizando membranas reabsorbibles y biomateriales que sustituyen el hueso autólogo, e intentando obtener los mismos resultados que con la técnica antes mencionada. Los límites de la implantología se están acabando con el advenimiento de este joven capítulo de ROG, cuyos objetivos reparador y restaurador del sistema incrementan en importancia debido al fracaso y la insuficiencia de los primeros niveles de prevención en nuestra odontología (AU)

Comparación entre membranas biodegradables y no degradables en la terapia de regeneración tisular guiada / Comparison between resorbable and non-resorbable membranes in guided tissue regeneration therapy

Revisión de opciones para tratamiento de pacientes comprometidos periodontalmente a base de membranas reabsorbibles y no reabsorbibles utilizadas para la técnica de regeneración tisular guiada, logrando evitar la migración epitelial, permitiendo formar un criterio de acuerdo a ventajas y desventajas obtenidas con el uso de ellas

Chemical peeling of the dark skinned patient Fitzpatrick type IV, V & VI

Chemical peeling of the skin has been an important therapeutic tool for the treatment of many skin diseases and especially for eliminating effects of solar damage, postinflammatory hyperpigmentation and scarring. Its application is safest in the fair skin types (Fitzpatrick 1, 11 & 111). This study was aimed at determining the incidence of complications in 500 Dark Skinned patients Fitzpatrick (IV, V & VI) by using the technique of applying superficial peel to an entire anatomical unit followed by "small patch" medium and deep peels only to the most severely affected areas of skin. 70 percent glycolic acid was used for superficial peel. 70 percent glycolic acid with 35 percent Trichlorocetic Acid (TCA) for medium peel, and 70 percent glycolic acid with 50 percent TCA for deep peel. Five hundred patients were evaluated for possible various complications by two independent examiners. Clinically, the combination of glycolic acid and TCA was safe and effective in peeling the dark skin: Complications included:- Hyperpigmentation - 6.6 percent; Erythema - 1.8 percent; Scaring - 0.4 percent; Milia - 0.2 percent; Poor physician/patient relationship - 0.2 percent. The incidence of complication following chemical peels of the dark skinned patient is low when medium and deep peeling are done in small patches of skin (1 to 10cm patches) in areas that needed it most and not to entire anatomical units.(AU)

Estudo comparativo do fechamento da incisäo mediana abdominal por planos e com o uso de pontos subtotais e tela de poligractina 910, em ratos / Comparative study of the closed of the mediana incision abdominal by plans and with use of subtotal points and poliglactina 910 mesh, in rats

O objetivo deste trabalho foi comparar a resistência tênsil e a evoluçao da reaçao tecidual da parede abdominal de ratos, submetidos à incisao mediana e fechamento abdominal em três técnicas diferentes: fechamento por planos, fechamento por planos complementada com pontos subtotais e fechamento por planos complementada com tela de poliglactina 910, estudados no primeiro, no sétimo e no décimo quarto dia de pós-operatório. O teste de resistência, utilizado para aferir a resistência à ruptura, foi descrito por UDUPA & CHANSOURIA, em 1969. Após a realizaçao do teste, procedeu-se à ressecçao de parte da ferida cirúrgica, sendo encaminhado o material para estudo microscópico ao Departamento de Patologia da USF. Os resultados obtidos no teste de resistência tênsil mostraram que as técnicas de fechamento abdominal complementadas com reforço conferem maior resistência à traçao da parede abdominal nos primeiros dias do pós-operatório. A comparaçao dos testes de resistência, efetuados no décimo quarto dia, revelou que a resistência à traçao da parede abdominal encontrava-se semelhante nos diferentes métodos utilizados. O estudo da reaçao tecidual, observada neste trabalho, mostrou um aumento da reaçao nos subgrupos de ratos em que se aplicaram as técnicas de reforço, sendo mais intensa quando do uso da tela de poliglactina 910. Conclui-se portanto que os métodos de fechamento de parede abdominal em ratos, quando da utilizaçao de reforço, conferem à parede abdominal, nos primeiros dias de pós-operatório, maior resistência à traçao. Em relaçao à reaçao tecidual, ela é maior quando se usa técnicas de reforço.

Cierre de la pared abdominal con sutura contínua de poliglactina 910: análisis de 173 pacientes / Closing the abdominal wall with a poligractina 910 continuous suture: analysis of 173 patients

Objetivo: Detectar el desarrollo de la dehiscencia de la herida quirúrgica o la presencia de hernia incisional. Diseño: Estudio prospectivo, longitudinal y descriptivo en 173 pacientes empleando sutura continua de la pared abdominal con poliglactina 910. Sede: Hospital Militar Regional de Chilpancingo, Gro. Resultados: El tiempo de seguimiento fue de 4 meses a 4 años, en 80 pacientes la cirugía se clasificó como urgente y en 93 como electiva. Las incisiones que se practicaron con mayor frecuencia fueron la media infraumbilical (39 por ciento), subcostal derecha (23 por ciento) y media supra e infraumbilical (21 por ciento). Los principales procedimientos quirúrgicos realizados fueron: resección intestinal (23 por ciento), Colecistectomía simple (20 por ciento), drenaje de absceso apendicular (14 por ciento). Se presentaron 2 dehiscencias de la aponeurosis (1 por ciento) consecutivas a infección de la herida. No se detectó ninguna hernia incisional. Conclusión: El cierre de la pared abdominal con sutura continua de poliglactina 910 es un procedimiento sencillo, rápido y confiable.

Cierre de la pared abdominal con sutura continua de poliglactina 910: análisis de 173 casos / Closure of the abdominal wall with continuous 910 polyglactin suture: analysis of 173 cases

Existe una tendencia cada vez más generalizada a efectuar el cierre del abdomen con sutura continua usando ácido poliglicólico, poliglactina 910, nailon o polipropileno. Con el propósito de confirmar la seguridad de este procedimiento e identificar sus posibles complicaciones, se hizo una evaluación clínica prospectiva de 173 cierres de pared abdominal en los que se utilizó sutura contínua de poliglactina 910. El intervalo de seguimiento en este estudio fue de cuatro meses a cuatro años. En 80 pacientes la operación fue urgente y en 93 electiva. Las incisiones que se practicaron con mayor frecuencia fueron media infraumbilical (39 por ciento), subcostal derecha (23 por ciento) y media supra e infraumbilical (21 por ciento). Los principales procedimientos quirúrgicos realizados fueron resección intestinal (23 por ciento), colecistectomía simple (20 por ciento) y drenaje de absceso apendicular (14 por ciento). Hubo dos dehiscencias de la aponeurosis (1 por ciento) consecutivas a la infección de la herida; no se identificó ninguna hernia incisional. Se concluye que el cierre de la pared abdominal con sutura continua de poliglactina 910 es un procedimiento sencillo, rápido y confiable.