Modified Laparoscopic Gastrostomy Tube Placement in Children: Does Subcutaneous Suture Type Matter?
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Read the article on jpedsurg.org ↗Article · Jan 2022 · 1 min read
In brief
In brief
This retrospective study of 113 pediatric laparoscopic gastrostomy tube placements compared surgical site infection rates across three absorbable suture types used for subcutaneous tacking. Poliglecaprone suture showed zero infections versus 16-18% with polyglactin or polydioxanone, suggesting suture choice may impact SSI risk in this modified technique.
Written by the GCMD Library team from the article.
Background
Laparoscopic gastrostomy tube (GT) placement carries the risk of early tube dislodgement and is often modified with absorbable subcutaneously-tunneled transabdominal tacking sutures that can aid in tube replacement. However, these buried sutures may increase the risk of surgical site infection (SSI). This study sought to evaluate SSI rates associated with different types of transabdominal tacking sutures used in modified laparoscopic GT placement.
Methods
A single-institution, retrospective review was performed of all patients ≤18 years-old undergoing modified laparoscopic GT placement between September 2016 and March 2020. Patients were stratified into three groups by suture type used, and the primary outcome was SSI within six weeks of surgery. Demographic and perioperative data were analyzed by chi-square or Fisher's exact test.
Results
A total of 113 modified laparoscopic GT placements were performed at a median age of 9 months (interquartile range 3 months to 3 years). Prophylactic antibiotic use was similar between groups. Eleven patients (10%) developed an SSI, and all were treated with antibiotics alone. No SSIs were observed with the use of poliglecaprone suture (n=46), and higher SSI rates were observed with use of polyglactin (n=17) and polydioxanone (n=51) suture (18% polyglactin vs. 16% polydioxanone vs. 0% poliglecaprone, p