Primary Versus Delayed Wound Closure Technique in Infected Laparotomy Wounds
نویسندگان
چکیده
Background: Contaminated laparotomy wounds have garnered little attention with high incidence of woundinfections. Many techniques been proposed for their management. The aim this study is to comparethe infection rates using primary closure vs delayed in cases peritonitis.The purpose identify a better wound technique management.Method: This included 105 patients, who were divided into two groups. Group A underwent primaryclosure and B closure, which the was left open without suturing andsaline irrigation given be sutured once clean. assessed usingSouthampton scoring system.Results: total 54 30 (55.6%) males 24 (44.4%) females included. A, 27 patientswith 55.6% 44.4% females. In B, patients 55.5% Themean age 39.4 ± 11.8 while that 37.02 12.5. had an .rate 77.4%whereas rate only 34%. duration hospital stay 9.8 forGroup 11.7.Conclusions: effective contaminated wounds, likeperforation. Peritonitis, as it reduces
منابع مشابه
Comparison of Primary Wound Closure with Vacuum Drainage and Delayed Closure in Perforated Appendicitis
Open wound managment after perforated appendicitis has been a common practice but recently, primary closure has been advocated to reduce costs and morbidity. For comparing delayed closures against primary closure with vacuum drainage, a randomized experimental study was designed. in Kerman. Sixty patients with perforated appendicitis divided randomly in two groups and evaluated on day of discha...
متن کاملA Novel Technique of Vacuum-assisted Wound Closure That Functions as a Delayed Primary Closure.
Contaminated midline abdominal wounds are often left open and allowed to close via secondary intention to prevent surgical site infections. Negative pressure wound therapy (NPWT) devices have decreased time of healing by secondary intention when compared to the prior standard of moist dressings. The authors report a modification of NPWT that utilizes the unique characteristics of the negative ...
متن کاملComparison of Superficial Surgical Site Infection Between Delayed Primary Versus Primary Wound Closure in Complicated Appendicitis
OBJECTIVE To compare superficial surgical site infection (SSI) rates between delayed primary wound closure (DPC) and primary wound closure (PC) for complicated appendicitis. BACKGROUND SSI is common in appendectomy for complicated appendicitis. DPC is preferentially used over PC, but its efficacy is still controversial. METHODS A multicenter randomized controlled trial was conducted in 6 ho...
متن کاملDelayed primary closure versus primary closure for wound management in perforated appendicitis: a prospective randomized controlled trial.
BACKGROUND It is still a matter of debate whether delayed primary closure (DPC) of contaminated abdominal incisions reduces surgical site infections compared with a primary closure (PC). The aim of this study was to determine the optimal method of wound closure for patients with perforated appendicitis. METHODS A total of 70 patients with perforated appendicitis were included. They were rando...
متن کاملDelayed primary versus late secondary wound closure in the treatment of postsurgical sternum osteomyelitis.
Sternal osteomyelitis and poststernotomy mediastinitis is a severe and life-threatening complication after the cardiac surgery. The incidence ranges up to 3% with a mortality rate up to 29%. In addition, postoperative infections after sternotomy are associated with prolonged hospital stay, increased healthcare costs and impaired quality of patient life, representing an economic and social burde...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Medico-Legal Update
سال: 2021
ISSN: ['0971-720X', '0974-1283']
DOI: https://doi.org/10.37506/mlu.v21i2.2862