Abdominal Wall Closure

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M K Schilling - One of the best experts on this subject based on the ideXlab platform.

  • surgical site infection after Abdominal Wall Closure with triclosan impregnated polydioxanone sutures results of a randomized clinical pathway facilitated trial nct00998907
    Surgery, 2013
    Co-Authors: Christoph Justinger, J E Slotta, Sebastian Ningel, Stefan Graber, Otto Kollmar, M K Schilling
    Abstract:

    BACKGROUND: Wound infections after Abdominal surgery are still frequent types of nosocomial infections. Suture materials might serve as a vehicle for mechanical transport of bacteria into the surgical wound. To prevent the contamination of suture material in surgical wounds, triclosan-coated suture materials with antibacterial activity was developed. We here report a prospective randomized pathway controlled trial investigating the effect of triclosan impregnation of polydioxanone sutures used for Abdominal Wall Closure on the rate of surgical-site infections. PATIENTS AND METHODS: A total of 856 patients included in this trial underwent a standardized clinical pathway documented Abdominal Wall Closure after Abdominal surgery. Patients were randomized to have the fascia closed with either a 2-0 polydioxanone loop or a triclosan impregnated 2-0 polydioxanone loop. The primary outcome was the number of wound infections. Risk factors for poor wound healing were collected prospectively to compare the two groups. RESULTS: When a PDS loop suture for Abdominal Wall Closure was used, 42 (11.3%) patients with wound infections were detected. The number of patients with wound infections decreased significantly to 31 when the PDS plus for Abdominal Wall Closure was used (6.4%, P < .05). Other risk factors for the development of side infections were comparably in the two groups. CONCLUSION: This clinical pathway facilitated trial shows that triclosan impregnation of a 2-0 polydioxanone closing suture can decrease wound infections in patients having a laparotomy for general and Abdominal vascular procedures.

  • surgical site infection after Abdominal Wall Closure with triclosan impregnated polydioxanone sutures results of a randomized clinical pathway facilitated trial nct00998907
    Surgery, 2013
    Co-Authors: Christoph Justinger, J E Slotta, Sebastian Ningel, Stefan Graber, Otto Kollmar, M K Schilling
    Abstract:

    Background Wound infections after Abdominal surgery are still frequent types of nosocomial infections. Suture materials might serve as a vehicle for mechanical transport of bacteria into the surgical wound. To prevent the contamination of suture material in surgical wounds, triclosan-coated suture materials with antibacterial activity was developed. We here report a prospective randomized pathway controlled trial investigating the effect of triclosan impregnation of polydioxanone sutures used for Abdominal Wall Closure on the rate of surgical-site infections. Patients and methods A total of 856 patients included in this trial underwent a standardized clinical pathway documented Abdominal Wall Closure after Abdominal surgery. Patients were randomized to have the fascia closed with either a 2-0 polydioxanone loop or a triclosan impregnated 2-0 polydioxanone loop. The primary outcome was the number of wound infections. Risk factors for poor wound healing were collected prospectively to compare the two groups. Results When a PDS loop suture for Abdominal Wall Closure was used, 42 (11.3%) patients with wound infections were detected. The number of patients with wound infections decreased significantly to 31 when the PDS plus for Abdominal Wall Closure was used (6.4%, P Conclusion This clinical pathway facilitated trial shows that triclosan impregnation of a 2-0 polydioxanone closing suture can decrease wound infections in patients having a laparotomy for general and Abdominal vascular procedures.

  • antibiotic coating of Abdominal Closure sutures and wound infection
    Surgery, 2009
    Co-Authors: Christoph Justinger, Otto Kollmar, M R Moussavian, Christian Schlueter, Berit Kopp, M K Schilling
    Abstract:

    Background Poor wound healing and the development of infection in incisional wounds continue to be among the most common complications of open Abdominal surgery. Various bacteria may contaminate not only the tissue in the operative wound, but also the actual suture material. To prevent the contamination of suture material in surgical wounds, triclosan-coated polyglactin 910 suture materials with antibacterial activity (Vicryl plus) was developed. The aim of this study was to ascertain if the use of Vicryl plus reduced the number of wound infections after midline laparotomy comparing to polydioxanon suture (PDS II). Methods We performed 2,088 operations in our department between October 2004 and September 2006 via midline incision. In the first time period (TP1), a PDS II loop suture was used. In the second time period (TP2), we used Vicryl plus. All variables were recorded prospectively in a database. The primary outcome was the number of wound infections. Risk factors for poor wound healing were collected prospectively to compare the 2 groups. Results Using a PDS loop suture for Abdominal Wall Closure in TP1, 10.8% of patients with wound infections were detected. The number of patients with wound infections decreased in TP2 using Vicryl plus for Abdominal Wall Closure to 4.9% ( P Conclusion The use of antibiotic-coated loop suture for Abdominal Wall Closure can decrease the number wound infections after Abdominal surgery.

  • antibiotic coating of Abdominal Closure sutures and wound infection
    Surgery, 2009
    Co-Authors: Christoph Justinger, Otto Kollmar, M R Moussavian, Christian Schlueter, Berit Kopp, M K Schilling
    Abstract:

    BACKGROUND: Poor wound healing and the development of infection in incisional wounds continue to be among the most common complications of open Abdominal surgery. Various bacteria may contaminate not only the tissue in the operative wound, but also the actual suture material. To prevent the contamination of suture material in surgical wounds, triclosan-coated polyglactin 910 suture materials with antibacterial activity (Vicryl plus) was developed. The aim of this study was to ascertain if the use of Vicryl plus reduced the number of wound infections after midline laparotomy comparing to polydioxanon suture (PDS II). METHODS: We performed 2,088 operations in our department between October 2004 and September 2006 via midline incision. In the first time period (TP1), a PDS II loop suture was used. In the second time period (TP2), we used Vicryl plus. All variables were recorded prospectively in a database. The primary outcome was the number of wound infections. Risk factors for poor wound healing were collected prospectively to compare the 2 groups. RESULTS: Using a PDS loop suture for Abdominal Wall Closure in TP1, 10.8% of patients with wound infections were detected. The number of patients with wound infections decreased in TP2 using Vicryl plus for Abdominal Wall Closure to 4.9% (P < .001) despite no other changes in protocols of patient care. Other risk factors for the development of site infections were comparable in the 2 groups. CONCLUSION: The use of antibiotic-coated loop suture for Abdominal Wall Closure can decrease the number wound infections after Abdominal surgery.

Christoph Justinger - One of the best experts on this subject based on the ideXlab platform.

  • surgical site infection after Abdominal Wall Closure with triclosan impregnated polydioxanone sutures results of a randomized clinical pathway facilitated trial nct00998907
    Surgery, 2013
    Co-Authors: Christoph Justinger, J E Slotta, Sebastian Ningel, Stefan Graber, Otto Kollmar, M K Schilling
    Abstract:

    BACKGROUND: Wound infections after Abdominal surgery are still frequent types of nosocomial infections. Suture materials might serve as a vehicle for mechanical transport of bacteria into the surgical wound. To prevent the contamination of suture material in surgical wounds, triclosan-coated suture materials with antibacterial activity was developed. We here report a prospective randomized pathway controlled trial investigating the effect of triclosan impregnation of polydioxanone sutures used for Abdominal Wall Closure on the rate of surgical-site infections. PATIENTS AND METHODS: A total of 856 patients included in this trial underwent a standardized clinical pathway documented Abdominal Wall Closure after Abdominal surgery. Patients were randomized to have the fascia closed with either a 2-0 polydioxanone loop or a triclosan impregnated 2-0 polydioxanone loop. The primary outcome was the number of wound infections. Risk factors for poor wound healing were collected prospectively to compare the two groups. RESULTS: When a PDS loop suture for Abdominal Wall Closure was used, 42 (11.3%) patients with wound infections were detected. The number of patients with wound infections decreased significantly to 31 when the PDS plus for Abdominal Wall Closure was used (6.4%, P < .05). Other risk factors for the development of side infections were comparably in the two groups. CONCLUSION: This clinical pathway facilitated trial shows that triclosan impregnation of a 2-0 polydioxanone closing suture can decrease wound infections in patients having a laparotomy for general and Abdominal vascular procedures.

  • surgical site infection after Abdominal Wall Closure with triclosan impregnated polydioxanone sutures results of a randomized clinical pathway facilitated trial nct00998907
    Surgery, 2013
    Co-Authors: Christoph Justinger, J E Slotta, Sebastian Ningel, Stefan Graber, Otto Kollmar, M K Schilling
    Abstract:

    Background Wound infections after Abdominal surgery are still frequent types of nosocomial infections. Suture materials might serve as a vehicle for mechanical transport of bacteria into the surgical wound. To prevent the contamination of suture material in surgical wounds, triclosan-coated suture materials with antibacterial activity was developed. We here report a prospective randomized pathway controlled trial investigating the effect of triclosan impregnation of polydioxanone sutures used for Abdominal Wall Closure on the rate of surgical-site infections. Patients and methods A total of 856 patients included in this trial underwent a standardized clinical pathway documented Abdominal Wall Closure after Abdominal surgery. Patients were randomized to have the fascia closed with either a 2-0 polydioxanone loop or a triclosan impregnated 2-0 polydioxanone loop. The primary outcome was the number of wound infections. Risk factors for poor wound healing were collected prospectively to compare the two groups. Results When a PDS loop suture for Abdominal Wall Closure was used, 42 (11.3%) patients with wound infections were detected. The number of patients with wound infections decreased significantly to 31 when the PDS plus for Abdominal Wall Closure was used (6.4%, P Conclusion This clinical pathway facilitated trial shows that triclosan impregnation of a 2-0 polydioxanone closing suture can decrease wound infections in patients having a laparotomy for general and Abdominal vascular procedures.

  • antibiotic coating of Abdominal Closure sutures and wound infection
    Surgery, 2009
    Co-Authors: Christoph Justinger, Otto Kollmar, M R Moussavian, Christian Schlueter, Berit Kopp, M K Schilling
    Abstract:

    Background Poor wound healing and the development of infection in incisional wounds continue to be among the most common complications of open Abdominal surgery. Various bacteria may contaminate not only the tissue in the operative wound, but also the actual suture material. To prevent the contamination of suture material in surgical wounds, triclosan-coated polyglactin 910 suture materials with antibacterial activity (Vicryl plus) was developed. The aim of this study was to ascertain if the use of Vicryl plus reduced the number of wound infections after midline laparotomy comparing to polydioxanon suture (PDS II). Methods We performed 2,088 operations in our department between October 2004 and September 2006 via midline incision. In the first time period (TP1), a PDS II loop suture was used. In the second time period (TP2), we used Vicryl plus. All variables were recorded prospectively in a database. The primary outcome was the number of wound infections. Risk factors for poor wound healing were collected prospectively to compare the 2 groups. Results Using a PDS loop suture for Abdominal Wall Closure in TP1, 10.8% of patients with wound infections were detected. The number of patients with wound infections decreased in TP2 using Vicryl plus for Abdominal Wall Closure to 4.9% ( P Conclusion The use of antibiotic-coated loop suture for Abdominal Wall Closure can decrease the number wound infections after Abdominal surgery.

  • antibiotic coating of Abdominal Closure sutures and wound infection
    Surgery, 2009
    Co-Authors: Christoph Justinger, Otto Kollmar, M R Moussavian, Christian Schlueter, Berit Kopp, M K Schilling
    Abstract:

    BACKGROUND: Poor wound healing and the development of infection in incisional wounds continue to be among the most common complications of open Abdominal surgery. Various bacteria may contaminate not only the tissue in the operative wound, but also the actual suture material. To prevent the contamination of suture material in surgical wounds, triclosan-coated polyglactin 910 suture materials with antibacterial activity (Vicryl plus) was developed. The aim of this study was to ascertain if the use of Vicryl plus reduced the number of wound infections after midline laparotomy comparing to polydioxanon suture (PDS II). METHODS: We performed 2,088 operations in our department between October 2004 and September 2006 via midline incision. In the first time period (TP1), a PDS II loop suture was used. In the second time period (TP2), we used Vicryl plus. All variables were recorded prospectively in a database. The primary outcome was the number of wound infections. Risk factors for poor wound healing were collected prospectively to compare the 2 groups. RESULTS: Using a PDS loop suture for Abdominal Wall Closure in TP1, 10.8% of patients with wound infections were detected. The number of patients with wound infections decreased in TP2 using Vicryl plus for Abdominal Wall Closure to 4.9% (P < .001) despite no other changes in protocols of patient care. Other risk factors for the development of site infections were comparable in the 2 groups. CONCLUSION: The use of antibiotic-coated loop suture for Abdominal Wall Closure can decrease the number wound infections after Abdominal surgery.

Otto Kollmar - One of the best experts on this subject based on the ideXlab platform.

  • surgical site infection after Abdominal Wall Closure with triclosan impregnated polydioxanone sutures results of a randomized clinical pathway facilitated trial nct00998907
    Surgery, 2013
    Co-Authors: Christoph Justinger, J E Slotta, Sebastian Ningel, Stefan Graber, Otto Kollmar, M K Schilling
    Abstract:

    BACKGROUND: Wound infections after Abdominal surgery are still frequent types of nosocomial infections. Suture materials might serve as a vehicle for mechanical transport of bacteria into the surgical wound. To prevent the contamination of suture material in surgical wounds, triclosan-coated suture materials with antibacterial activity was developed. We here report a prospective randomized pathway controlled trial investigating the effect of triclosan impregnation of polydioxanone sutures used for Abdominal Wall Closure on the rate of surgical-site infections. PATIENTS AND METHODS: A total of 856 patients included in this trial underwent a standardized clinical pathway documented Abdominal Wall Closure after Abdominal surgery. Patients were randomized to have the fascia closed with either a 2-0 polydioxanone loop or a triclosan impregnated 2-0 polydioxanone loop. The primary outcome was the number of wound infections. Risk factors for poor wound healing were collected prospectively to compare the two groups. RESULTS: When a PDS loop suture for Abdominal Wall Closure was used, 42 (11.3%) patients with wound infections were detected. The number of patients with wound infections decreased significantly to 31 when the PDS plus for Abdominal Wall Closure was used (6.4%, P < .05). Other risk factors for the development of side infections were comparably in the two groups. CONCLUSION: This clinical pathway facilitated trial shows that triclosan impregnation of a 2-0 polydioxanone closing suture can decrease wound infections in patients having a laparotomy for general and Abdominal vascular procedures.

  • surgical site infection after Abdominal Wall Closure with triclosan impregnated polydioxanone sutures results of a randomized clinical pathway facilitated trial nct00998907
    Surgery, 2013
    Co-Authors: Christoph Justinger, J E Slotta, Sebastian Ningel, Stefan Graber, Otto Kollmar, M K Schilling
    Abstract:

    Background Wound infections after Abdominal surgery are still frequent types of nosocomial infections. Suture materials might serve as a vehicle for mechanical transport of bacteria into the surgical wound. To prevent the contamination of suture material in surgical wounds, triclosan-coated suture materials with antibacterial activity was developed. We here report a prospective randomized pathway controlled trial investigating the effect of triclosan impregnation of polydioxanone sutures used for Abdominal Wall Closure on the rate of surgical-site infections. Patients and methods A total of 856 patients included in this trial underwent a standardized clinical pathway documented Abdominal Wall Closure after Abdominal surgery. Patients were randomized to have the fascia closed with either a 2-0 polydioxanone loop or a triclosan impregnated 2-0 polydioxanone loop. The primary outcome was the number of wound infections. Risk factors for poor wound healing were collected prospectively to compare the two groups. Results When a PDS loop suture for Abdominal Wall Closure was used, 42 (11.3%) patients with wound infections were detected. The number of patients with wound infections decreased significantly to 31 when the PDS plus for Abdominal Wall Closure was used (6.4%, P Conclusion This clinical pathway facilitated trial shows that triclosan impregnation of a 2-0 polydioxanone closing suture can decrease wound infections in patients having a laparotomy for general and Abdominal vascular procedures.

  • antibiotic coating of Abdominal Closure sutures and wound infection
    Surgery, 2009
    Co-Authors: Christoph Justinger, Otto Kollmar, M R Moussavian, Christian Schlueter, Berit Kopp, M K Schilling
    Abstract:

    Background Poor wound healing and the development of infection in incisional wounds continue to be among the most common complications of open Abdominal surgery. Various bacteria may contaminate not only the tissue in the operative wound, but also the actual suture material. To prevent the contamination of suture material in surgical wounds, triclosan-coated polyglactin 910 suture materials with antibacterial activity (Vicryl plus) was developed. The aim of this study was to ascertain if the use of Vicryl plus reduced the number of wound infections after midline laparotomy comparing to polydioxanon suture (PDS II). Methods We performed 2,088 operations in our department between October 2004 and September 2006 via midline incision. In the first time period (TP1), a PDS II loop suture was used. In the second time period (TP2), we used Vicryl plus. All variables were recorded prospectively in a database. The primary outcome was the number of wound infections. Risk factors for poor wound healing were collected prospectively to compare the 2 groups. Results Using a PDS loop suture for Abdominal Wall Closure in TP1, 10.8% of patients with wound infections were detected. The number of patients with wound infections decreased in TP2 using Vicryl plus for Abdominal Wall Closure to 4.9% ( P Conclusion The use of antibiotic-coated loop suture for Abdominal Wall Closure can decrease the number wound infections after Abdominal surgery.

  • antibiotic coating of Abdominal Closure sutures and wound infection
    Surgery, 2009
    Co-Authors: Christoph Justinger, Otto Kollmar, M R Moussavian, Christian Schlueter, Berit Kopp, M K Schilling
    Abstract:

    BACKGROUND: Poor wound healing and the development of infection in incisional wounds continue to be among the most common complications of open Abdominal surgery. Various bacteria may contaminate not only the tissue in the operative wound, but also the actual suture material. To prevent the contamination of suture material in surgical wounds, triclosan-coated polyglactin 910 suture materials with antibacterial activity (Vicryl plus) was developed. The aim of this study was to ascertain if the use of Vicryl plus reduced the number of wound infections after midline laparotomy comparing to polydioxanon suture (PDS II). METHODS: We performed 2,088 operations in our department between October 2004 and September 2006 via midline incision. In the first time period (TP1), a PDS II loop suture was used. In the second time period (TP2), we used Vicryl plus. All variables were recorded prospectively in a database. The primary outcome was the number of wound infections. Risk factors for poor wound healing were collected prospectively to compare the 2 groups. RESULTS: Using a PDS loop suture for Abdominal Wall Closure in TP1, 10.8% of patients with wound infections were detected. The number of patients with wound infections decreased in TP2 using Vicryl plus for Abdominal Wall Closure to 4.9% (P < .001) despite no other changes in protocols of patient care. Other risk factors for the development of site infections were comparable in the 2 groups. CONCLUSION: The use of antibiotic-coated loop suture for Abdominal Wall Closure can decrease the number wound infections after Abdominal surgery.

Stefan Graber - One of the best experts on this subject based on the ideXlab platform.

  • surgical site infection after Abdominal Wall Closure with triclosan impregnated polydioxanone sutures results of a randomized clinical pathway facilitated trial nct00998907
    Surgery, 2013
    Co-Authors: Christoph Justinger, J E Slotta, Sebastian Ningel, Stefan Graber, Otto Kollmar, M K Schilling
    Abstract:

    BACKGROUND: Wound infections after Abdominal surgery are still frequent types of nosocomial infections. Suture materials might serve as a vehicle for mechanical transport of bacteria into the surgical wound. To prevent the contamination of suture material in surgical wounds, triclosan-coated suture materials with antibacterial activity was developed. We here report a prospective randomized pathway controlled trial investigating the effect of triclosan impregnation of polydioxanone sutures used for Abdominal Wall Closure on the rate of surgical-site infections. PATIENTS AND METHODS: A total of 856 patients included in this trial underwent a standardized clinical pathway documented Abdominal Wall Closure after Abdominal surgery. Patients were randomized to have the fascia closed with either a 2-0 polydioxanone loop or a triclosan impregnated 2-0 polydioxanone loop. The primary outcome was the number of wound infections. Risk factors for poor wound healing were collected prospectively to compare the two groups. RESULTS: When a PDS loop suture for Abdominal Wall Closure was used, 42 (11.3%) patients with wound infections were detected. The number of patients with wound infections decreased significantly to 31 when the PDS plus for Abdominal Wall Closure was used (6.4%, P < .05). Other risk factors for the development of side infections were comparably in the two groups. CONCLUSION: This clinical pathway facilitated trial shows that triclosan impregnation of a 2-0 polydioxanone closing suture can decrease wound infections in patients having a laparotomy for general and Abdominal vascular procedures.

  • surgical site infection after Abdominal Wall Closure with triclosan impregnated polydioxanone sutures results of a randomized clinical pathway facilitated trial nct00998907
    Surgery, 2013
    Co-Authors: Christoph Justinger, J E Slotta, Sebastian Ningel, Stefan Graber, Otto Kollmar, M K Schilling
    Abstract:

    Background Wound infections after Abdominal surgery are still frequent types of nosocomial infections. Suture materials might serve as a vehicle for mechanical transport of bacteria into the surgical wound. To prevent the contamination of suture material in surgical wounds, triclosan-coated suture materials with antibacterial activity was developed. We here report a prospective randomized pathway controlled trial investigating the effect of triclosan impregnation of polydioxanone sutures used for Abdominal Wall Closure on the rate of surgical-site infections. Patients and methods A total of 856 patients included in this trial underwent a standardized clinical pathway documented Abdominal Wall Closure after Abdominal surgery. Patients were randomized to have the fascia closed with either a 2-0 polydioxanone loop or a triclosan impregnated 2-0 polydioxanone loop. The primary outcome was the number of wound infections. Risk factors for poor wound healing were collected prospectively to compare the two groups. Results When a PDS loop suture for Abdominal Wall Closure was used, 42 (11.3%) patients with wound infections were detected. The number of patients with wound infections decreased significantly to 31 when the PDS plus for Abdominal Wall Closure was used (6.4%, P Conclusion This clinical pathway facilitated trial shows that triclosan impregnation of a 2-0 polydioxanone closing suture can decrease wound infections in patients having a laparotomy for general and Abdominal vascular procedures.

Sebastian Ningel - One of the best experts on this subject based on the ideXlab platform.

  • surgical site infection after Abdominal Wall Closure with triclosan impregnated polydioxanone sutures results of a randomized clinical pathway facilitated trial nct00998907
    Surgery, 2013
    Co-Authors: Christoph Justinger, J E Slotta, Sebastian Ningel, Stefan Graber, Otto Kollmar, M K Schilling
    Abstract:

    BACKGROUND: Wound infections after Abdominal surgery are still frequent types of nosocomial infections. Suture materials might serve as a vehicle for mechanical transport of bacteria into the surgical wound. To prevent the contamination of suture material in surgical wounds, triclosan-coated suture materials with antibacterial activity was developed. We here report a prospective randomized pathway controlled trial investigating the effect of triclosan impregnation of polydioxanone sutures used for Abdominal Wall Closure on the rate of surgical-site infections. PATIENTS AND METHODS: A total of 856 patients included in this trial underwent a standardized clinical pathway documented Abdominal Wall Closure after Abdominal surgery. Patients were randomized to have the fascia closed with either a 2-0 polydioxanone loop or a triclosan impregnated 2-0 polydioxanone loop. The primary outcome was the number of wound infections. Risk factors for poor wound healing were collected prospectively to compare the two groups. RESULTS: When a PDS loop suture for Abdominal Wall Closure was used, 42 (11.3%) patients with wound infections were detected. The number of patients with wound infections decreased significantly to 31 when the PDS plus for Abdominal Wall Closure was used (6.4%, P < .05). Other risk factors for the development of side infections were comparably in the two groups. CONCLUSION: This clinical pathway facilitated trial shows that triclosan impregnation of a 2-0 polydioxanone closing suture can decrease wound infections in patients having a laparotomy for general and Abdominal vascular procedures.

  • surgical site infection after Abdominal Wall Closure with triclosan impregnated polydioxanone sutures results of a randomized clinical pathway facilitated trial nct00998907
    Surgery, 2013
    Co-Authors: Christoph Justinger, J E Slotta, Sebastian Ningel, Stefan Graber, Otto Kollmar, M K Schilling
    Abstract:

    Background Wound infections after Abdominal surgery are still frequent types of nosocomial infections. Suture materials might serve as a vehicle for mechanical transport of bacteria into the surgical wound. To prevent the contamination of suture material in surgical wounds, triclosan-coated suture materials with antibacterial activity was developed. We here report a prospective randomized pathway controlled trial investigating the effect of triclosan impregnation of polydioxanone sutures used for Abdominal Wall Closure on the rate of surgical-site infections. Patients and methods A total of 856 patients included in this trial underwent a standardized clinical pathway documented Abdominal Wall Closure after Abdominal surgery. Patients were randomized to have the fascia closed with either a 2-0 polydioxanone loop or a triclosan impregnated 2-0 polydioxanone loop. The primary outcome was the number of wound infections. Risk factors for poor wound healing were collected prospectively to compare the two groups. Results When a PDS loop suture for Abdominal Wall Closure was used, 42 (11.3%) patients with wound infections were detected. The number of patients with wound infections decreased significantly to 31 when the PDS plus for Abdominal Wall Closure was used (6.4%, P Conclusion This clinical pathway facilitated trial shows that triclosan impregnation of a 2-0 polydioxanone closing suture can decrease wound infections in patients having a laparotomy for general and Abdominal vascular procedures.