Intraoperative Considerations

The choice of suture materials and method of incisional closure are influenced by the effects of immunosuppression and underlying systemic illness on wound healing. Virtually all transplant recipients will experience delayed development of adequate tensile strength, therefore whenever feasible we recommend non-absorbable suture materials. When an absorbable suture is selected, monofilament, synthetic absorbable materials are preferable, because they maintain higher tensile strength over a longer duration. Also because of concern regarding delayed wound healing, skin sutures (or staples) should remain in place for 2-3 postoperative weeks.

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