Y. E. Abdelhak, J. J. Sheen, E. Kuczynski, A. Bianco
Comparison of delayed absorbable suture v nonabsorbable suture for treatment of incompetent cervix
This is a retrospective study of McDonald cerclages
comparing absorbable suture v. nonabsorbable suture
and showing no adverse outcomes associated with the
absorbable cerclage group.
Objective: To compare the efficacy of traditional nonabsorbable
suture to delayed absorbable suture for use
in McDonald cervical cerclage.
Study design: A retrospective analysis was conducted
examining all cerclage procedures over a one year interval,
from 7/01/97 until 6/03/98. Cases were stratified
by the type of suture material, specifically nonabsorbable
versus delayed absorbable. Demographic data, as
well as selected perinatal outcomes were analyzed for
each group. Statistical analysis was performed using
Chi-square and Fishers Exact test for categorical data,
and the Student t-test for continuous variables. A
p < .05 was considered statistically significant.
Results: Eighteen patients who underwent a McDonald
cerclage were analyzed. In fourteen a nonabsorbable
cerclage was utilized and in four an absorbable cerclage
was used. The mean gestational age at delivery for the
nonabsorbable suture group was 36.9 weeks compared
to 39.2 weeks for the patients receiving an absorbable
cerclage (P = 0.2). The mean birth weights for each
group were 2732 ±183 gms and 3616 ±343 grams,
respectively (P =0.04).
Conclusion: Based on our findings delayed absorbable
suture material may be a reasonable alternative during
cerclage placement, with the added benefit of spontaneous
degradation versus surgical removal.
Journal of Perinatal Medicine, Walter de Gruyter
Print ISSN: 1619-3997
Volume: 27, 09/1999
Pages: 250 - 252
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