Journal of Current Surgery, ISSN 1927-1298 print, 1927-1301 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Curr Surg and Elmer Press Inc
Journal website

Original Article

Volume 6, Number 3-4, December 2016, pages 65-72

A Comparative Study of Polydioxanone and Nylon for Abdominal Wall Closure With Interrupted Figure of Eight in Peritonitis Cases


Figure 1.
Figure 1. Bite is taken 1.5 cm from cut edge of linea alba on the opposite side.
Figure 2.
Figure 2. Ends are tied which creates figure of eight.
Figure 3.
Figure 3. Distribution of patients according to cause of perforation in both groups (separately).
Figure 4.
Figure 4. Early wound complications in the two groups.
Figure 5.
Figure 5. Distribution of late wound complications among patients.


Table 1. Age Distribution of Patients According to Site of Perforation
Site of perforationAge of patients (in years)
11 - 2021 - 3031 - 4041 - 5051 - 60> 60
Appendicular perforation300000
Duodenal perforation341123
Gastric perforation001204
Ileal perforation660010
Jejunal perforation011000
Meckel’s diverticulum100000
Pre-pyloric perforation015010
Primary peritonitis112100
Pyloric perforation012211
Sigmoid perforation000100


Table 2. Outcomes of Wound
Wound outcomesGroup A: polyamide (nylon)Group B: polydioxanone (PDS)
Total cases: 30P-valueTotal cases: 30P-value
Wound dehiscence after 3 weeks80.00071.000
Burst abdomen00.00011.000
Chronic wound infection11.01701.000
Suture sinus11.01701.000
Incisional hernia00
Stitch granuloma11.01701.000


Table 3. Wound Pain
StudyWound pain
Van’t et al [2]P < 0.005
Docobo-Durantez et al [3]P < 0.01
Khan et al [4]P = 0.001
Present studyP = 0.1046


Table 4. Wound Discharge
StudyWound discharge
Khan et al [4]24.0% (prolene) and 16.0% (PDS)
Seiler et al [5]12.7%, 19.4%, and 16.3%
Altaf et al [5]6.61% and 5.7%
Hisham et al [7]28.6% and 25%
Present study23.3% and 16.7%


Table 5. Suture Sinus Formation
StudySutures sinus formation
Sajid et al [8]1.04% and 0.07%
Khan et al [4]16.0% (prolene) and 2.0 (PDS)
Yadav and Garg [9]3.5%
Present study3.3% and 0%


Table 6. Incisional Hernia
StudyNon-absorbable groupDelayed absorbable group
Khan et al [4]8.0%4.0%
Bloemen et al [10]3.5%4.7%
Yadav and Garg [9]13.2%10.4%
Altaf et al [6]4.34%0.73%
Israelsson and Jonsson [11]15.7%15.1%
Present study0%0%