The Application of Antibacterial Triclosan-Coated Polyglactin 910 Suture versus Conventional Polyglactin 910 Suture in Abdominal Hysterectomy: A Comparison of Selected Postoperative Complications
Background: Abdominal hysterectomy is one of the most frequently performed surgical procedures in gynecology. The new coated polyglactin 910 sutures with the antibacterial agent triclosan may help to reduce the frequency of infectious postoperative complications and consequently shorten the duration of hospital stay.
Materials and methods: The study was carried out with 450 patients who underwent abdominal hysterectomy between August 2008 and August 2018. The following factors were taken into account: C-reactive protein, the application of post-operative antibiotics, the maximum body temperature, the duration and the cost of hospitalization.
Results: In those cases where triclosan-coated suture was used, the phlogistic C-reactive marker was significantly lower (p < 0.002) than in the group where conventional suture without triclosan was used, the maximum body temperature during the whole period of hospitalization was also significantly lower (p = 0.004), the application of post-operative antibiotics was significantly lower (p < 0.001), the length of hospital stay was significantly shorter (p < 0.001), and the costs, calculated in treatment days, were also significantly lower (p < 0.001).
Conclusions: It can be concluded that the application of the sutural material with triclosan offers real benefits in the prevention of infectious complications. Particularly, the vaginal wound is the region with the highest colonization of pathogens. Therefore, for the suture of the vaginal wound in particular, we especially recommend applying triclosan-coated polyglactin 910 suture in order to eliminate the risk of local infection resulting directly from the use of the sutural material.
Key words: triclosan, hysterectomy, infectious complications, polyglactin 910