Tissue Response to Suture Materials (4 Different Sutures) Used in Fascia Repair in Single-Port Laparoscopic Cholecystectomy

Özet

Introduction: This study aimed to evaluate the tissue inflammatory response to suture materials used for fascia repair in single-port laparoscopic cholecystectomy. Methods: The medical records of 65 patients who underwent single-port laparoscopic cholecystectomy in general surgery clinics at state hospitals between December 2013 and January 2015 were retrospectively analyzed. Tissue reaction to the suture materials used for repairing a 2-cm fascia incision in single-port laparoscopic cholecystectomy was evaluated. Tissue reaction to the following suture materials used for repairing the fascia defect was analyzed: non-absorbable braided polyester, nonabsorbable monofilament polypropylene, absorbable polyfilament polyglactin, and absorbable monofilament poldioxanone. Results: Non-absorbable braided polyester was used in 14 patients, non-absorbable monofilament polypropylene in 25 patients, absorbable polyfilament polyglactin in 10 patients, and absorbable monofilament poldioxanone in 16 patients. Patients were followed up for at least 6 months. Fourteen patients who had a foreign body reaction could not be treated by antibiotherapy and therefore underwent surgery to excise the sutures responsible for inducing the reaction. Discussion and Conclusion: Non-absorbable braided polyester caused tissue reaction, which could not be treated by antibiotherapy and medical treatment. All the patients who underwent surgery with this suture material had to be reoperated to excise the suture material. The patients who underwent surgery with other suture materials did not exhibit soft tissue reaction.