Abstract
ABSTRACT
Two trials are reported. First, the surgical progress of 50 patients undergoing a variety of benign and cancer-related gynecologic procedures was studied. Two categories of suture were defined: (1) buried (e.g., uterine pedicle, peritoneum, muscle, or subcutaneous tissue) and (2) a modified Smead-Jones abdominal wound closure. The initial study, comparing polyglyconate with polydioxanone and chromic catgut, resulted in a subjective assessment that the first suture had superior handling qualities. Its use also appeared to assist in the primary closure of the vaginal cuff by avoiding granulation tissue, troublesome postoperative discharge, and bleeding from the vagina. Subsequent evaluations of the suture material, in a second study of 105 consecutive vaginal vault closures, were conducted at two hospital sites. The low reactivity and the strength advantages of polyglyconate in prevention of vaginal mucous membrane separation and vault granulation are discussed. (J GYNECOL SURG 5:279, 1989)
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