Evaluation of a Monofile, Ultra-Long Absorbable Suture with High Elasticity for Abdominal Wall Closure Under Daily Clinical Routine MULTIMAC a Prospective Observational Study

Petra Baumann; Florin Savulescu; Alexander Ferko; Cestmir Neoral; Moritz Nicolas Wente

doi:doi:10.11648/j.js.20190701.11

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Evaluation of a Monofile, Ultra-Long Absorbable Suture with High Elasticity for Abdominal Wall Closure Under Daily Clinical Routine MULTIMAC a Prospective Observational Study

Petra Baumann, Florin Savulescu, Alexander Ferko, Cestmir Neoral, Moritz Nicolas Wente

Published in Journal of Surgery (Volume 7, Issue 1)

Received: 29 October 2018 Accepted: 20 January 2019 Published: 19 February 2019

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Abstract

Recent meta-analyses have shown that the application of a monofile, late-absorbable suture using a continuous suture technique with a suture-to-wound length ratio of at least 4:1 is the method of choice for the closure of midline laparotomies. Monomax, a new ultra-long term absorbable, high elastic monofilament suture, was approved in 2009 and its safety and efficacy were proven in a selected patient population under controlled conditions for elective midline abdominal wall closure (ISSAAC Study). The present multi-centric, international, prospective observational study is aimed at evaluating the performance of Monomax suture for transverse and midline abdominal wall closure in daily clinical practice even in high risk patients. A total of 200 patients undergoing a primary elective laparotomy using either a midline or transverse incision were examined regarding the frequency of short-term complications (e.g. reoperation due to burst abdomen, wound infection, wound healing disorders), until discharge and 1 month after surgery. Postoperative length of hospital stay was also reported. Frequency of reoperation due to burst abdomen was 2.5% and a wound infection rate of 3.5% was reported up to day of discharge. Seven patients developed a wound healing disorder (3.5%). Average length of postoperative hospital stay was 10.3 days. Our results indicate that the ultra-long term absorbable, elastic monofilament suture is safe and efficient for transverse and midline abdominal wall closure performed under daily clinical routine even in high risk patients.

Published in	Journal of Surgery (Volume 7, Issue 1)
DOI	10.11648/j.js.20190701.11
Page(s)	1-7
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Abdominal Wall Closure, Laparotomy, Burst Abdomen, Incisional Hernia, Wound Infection, Suture Material

References

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APA Style

Petra Baumann, Florin Savulescu, Alexander Ferko, Cestmir Neoral, Moritz Nicolas Wente. (2019). Evaluation of a Monofile, Ultra-Long Absorbable Suture with High Elasticity for Abdominal Wall Closure Under Daily Clinical Routine MULTIMAC a Prospective Observational Study. Journal of Surgery, 7(1), 1-7. https://doi.org/10.11648/j.js.20190701.11

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ACS Style

Petra Baumann; Florin Savulescu; Alexander Ferko; Cestmir Neoral; Moritz Nicolas Wente. Evaluation of a Monofile, Ultra-Long Absorbable Suture with High Elasticity for Abdominal Wall Closure Under Daily Clinical Routine MULTIMAC a Prospective Observational Study. J. Surg. 2019, 7(1), 1-7. doi: 10.11648/j.js.20190701.11

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AMA Style

Petra Baumann, Florin Savulescu, Alexander Ferko, Cestmir Neoral, Moritz Nicolas Wente. Evaluation of a Monofile, Ultra-Long Absorbable Suture with High Elasticity for Abdominal Wall Closure Under Daily Clinical Routine MULTIMAC a Prospective Observational Study. J Surg. 2019;7(1):1-7. doi: 10.11648/j.js.20190701.11

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@article{10.11648/j.js.20190701.11,
  author = {Petra Baumann and Florin Savulescu and Alexander Ferko and Cestmir Neoral and Moritz Nicolas Wente},
  title = {Evaluation of a Monofile, Ultra-Long Absorbable Suture with High Elasticity for Abdominal Wall Closure Under Daily Clinical Routine MULTIMAC a Prospective Observational Study},
  journal = {Journal of Surgery},
  volume = {7},
  number = {1},
  pages = {1-7},
  doi = {10.11648/j.js.20190701.11},
  url = {https://doi.org/10.11648/j.js.20190701.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20190701.11},
  abstract = {Recent meta-analyses have shown that the application of a monofile, late-absorbable suture using a continuous suture technique with a suture-to-wound length ratio of at least 4:1 is the method of choice for the closure of midline laparotomies. Monomax, a new ultra-long term absorbable, high elastic monofilament suture, was approved in 2009 and its safety and efficacy were proven in a selected patient population under controlled conditions for elective midline abdominal wall closure (ISSAAC Study). The present multi-centric, international, prospective observational study is aimed at evaluating the performance of Monomax suture for transverse and midline abdominal wall closure in daily clinical practice even in high risk patients. A total of 200 patients undergoing a primary elective laparotomy using either a midline or transverse incision were examined regarding the frequency of short-term complications (e.g. reoperation due to burst abdomen, wound infection, wound healing disorders), until discharge and 1 month after surgery. Postoperative length of hospital stay was also reported. Frequency of reoperation due to burst abdomen was 2.5% and a wound infection rate of 3.5% was reported up to day of discharge. Seven patients developed a wound healing disorder (3.5%). Average length of postoperative hospital stay was 10.3 days. Our results indicate that the ultra-long term absorbable, elastic monofilament suture is safe and efficient for transverse and midline abdominal wall closure performed under daily clinical routine even in high risk patients.},
 year = {2019}
}

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TY  - JOUR
T1  - Evaluation of a Monofile, Ultra-Long Absorbable Suture with High Elasticity for Abdominal Wall Closure Under Daily Clinical Routine MULTIMAC a Prospective Observational Study
AU  - Petra Baumann
AU  - Florin Savulescu
AU  - Alexander Ferko
AU  - Cestmir Neoral
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DO  - 10.11648/j.js.20190701.11
T2  - Journal of Surgery
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JO  - Journal of Surgery
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PB  - Science Publishing Group
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AB  - Recent meta-analyses have shown that the application of a monofile, late-absorbable suture using a continuous suture technique with a suture-to-wound length ratio of at least 4:1 is the method of choice for the closure of midline laparotomies. Monomax, a new ultra-long term absorbable, high elastic monofilament suture, was approved in 2009 and its safety and efficacy were proven in a selected patient population under controlled conditions for elective midline abdominal wall closure (ISSAAC Study). The present multi-centric, international, prospective observational study is aimed at evaluating the performance of Monomax suture for transverse and midline abdominal wall closure in daily clinical practice even in high risk patients. A total of 200 patients undergoing a primary elective laparotomy using either a midline or transverse incision were examined regarding the frequency of short-term complications (e.g. reoperation due to burst abdomen, wound infection, wound healing disorders), until discharge and 1 month after surgery. Postoperative length of hospital stay was also reported. Frequency of reoperation due to burst abdomen was 2.5% and a wound infection rate of 3.5% was reported up to day of discharge. Seven patients developed a wound healing disorder (3.5%). Average length of postoperative hospital stay was 10.3 days. Our results indicate that the ultra-long term absorbable, elastic monofilament suture is safe and efficient for transverse and midline abdominal wall closure performed under daily clinical routine even in high risk patients.
VL  - 7
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Author Information

Petra Baumann

Department of Medical Scientific Affairs, Aesculap AG, Tuttlingen, Germany
Florin Savulescu

Department of Surgery
Alexander Ferko

Department of Surgery
Cestmir Neoral

Department of Surgery
Moritz Nicolas Wente

Department of Medical Scientific Affairs, Aesculap AG, Tuttlingen, Germany

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APA Style

Petra Baumann, Florin Savulescu, Alexander Ferko, Cestmir Neoral, Moritz Nicolas Wente. (2019). Evaluation of a Monofile, Ultra-Long Absorbable Suture with High Elasticity for Abdominal Wall Closure Under Daily Clinical Routine MULTIMAC a Prospective Observational Study. Journal of Surgery, 7(1), 1-7. https://doi.org/10.11648/j.js.20190701.11

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ACS Style

Petra Baumann; Florin Savulescu; Alexander Ferko; Cestmir Neoral; Moritz Nicolas Wente. Evaluation of a Monofile, Ultra-Long Absorbable Suture with High Elasticity for Abdominal Wall Closure Under Daily Clinical Routine MULTIMAC a Prospective Observational Study. J. Surg. 2019, 7(1), 1-7. doi: 10.11648/j.js.20190701.11

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AMA Style

Petra Baumann, Florin Savulescu, Alexander Ferko, Cestmir Neoral, Moritz Nicolas Wente. Evaluation of a Monofile, Ultra-Long Absorbable Suture with High Elasticity for Abdominal Wall Closure Under Daily Clinical Routine MULTIMAC a Prospective Observational Study. J Surg. 2019;7(1):1-7. doi: 10.11648/j.js.20190701.11

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@article{10.11648/j.js.20190701.11,
  author = {Petra Baumann and Florin Savulescu and Alexander Ferko and Cestmir Neoral and Moritz Nicolas Wente},
  title = {Evaluation of a Monofile, Ultra-Long Absorbable Suture with High Elasticity for Abdominal Wall Closure Under Daily Clinical Routine MULTIMAC a Prospective Observational Study},
  journal = {Journal of Surgery},
  volume = {7},
  number = {1},
  pages = {1-7},
  doi = {10.11648/j.js.20190701.11},
  url = {https://doi.org/10.11648/j.js.20190701.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20190701.11},
  abstract = {Recent meta-analyses have shown that the application of a monofile, late-absorbable suture using a continuous suture technique with a suture-to-wound length ratio of at least 4:1 is the method of choice for the closure of midline laparotomies. Monomax, a new ultra-long term absorbable, high elastic monofilament suture, was approved in 2009 and its safety and efficacy were proven in a selected patient population under controlled conditions for elective midline abdominal wall closure (ISSAAC Study). The present multi-centric, international, prospective observational study is aimed at evaluating the performance of Monomax suture for transverse and midline abdominal wall closure in daily clinical practice even in high risk patients. A total of 200 patients undergoing a primary elective laparotomy using either a midline or transverse incision were examined regarding the frequency of short-term complications (e.g. reoperation due to burst abdomen, wound infection, wound healing disorders), until discharge and 1 month after surgery. Postoperative length of hospital stay was also reported. Frequency of reoperation due to burst abdomen was 2.5% and a wound infection rate of 3.5% was reported up to day of discharge. Seven patients developed a wound healing disorder (3.5%). Average length of postoperative hospital stay was 10.3 days. Our results indicate that the ultra-long term absorbable, elastic monofilament suture is safe and efficient for transverse and midline abdominal wall closure performed under daily clinical routine even in high risk patients.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Evaluation of a Monofile, Ultra-Long Absorbable Suture with High Elasticity for Abdominal Wall Closure Under Daily Clinical Routine MULTIMAC a Prospective Observational Study
AU  - Petra Baumann
AU  - Florin Savulescu
AU  - Alexander Ferko
AU  - Cestmir Neoral
AU  - Moritz Nicolas Wente
Y1  - 2019/02/19
PY  - 2019
N1  - https://doi.org/10.11648/j.js.20190701.11
DO  - 10.11648/j.js.20190701.11
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 1
EP  - 7
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20190701.11
AB  - Recent meta-analyses have shown that the application of a monofile, late-absorbable suture using a continuous suture technique with a suture-to-wound length ratio of at least 4:1 is the method of choice for the closure of midline laparotomies. Monomax, a new ultra-long term absorbable, high elastic monofilament suture, was approved in 2009 and its safety and efficacy were proven in a selected patient population under controlled conditions for elective midline abdominal wall closure (ISSAAC Study). The present multi-centric, international, prospective observational study is aimed at evaluating the performance of Monomax suture for transverse and midline abdominal wall closure in daily clinical practice even in high risk patients. A total of 200 patients undergoing a primary elective laparotomy using either a midline or transverse incision were examined regarding the frequency of short-term complications (e.g. reoperation due to burst abdomen, wound infection, wound healing disorders), until discharge and 1 month after surgery. Postoperative length of hospital stay was also reported. Frequency of reoperation due to burst abdomen was 2.5% and a wound infection rate of 3.5% was reported up to day of discharge. Seven patients developed a wound healing disorder (3.5%). Average length of postoperative hospital stay was 10.3 days. Our results indicate that the ultra-long term absorbable, elastic monofilament suture is safe and efficient for transverse and midline abdominal wall closure performed under daily clinical routine even in high risk patients.
VL  - 7
IS  - 1
ER  -

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