OBJECTIVE To assess the local wound complications in complicated/ high risk laparotomies in terms of wound dehiscence and incisional hernia formation with a modified technique of midline abdominal wound closure. STUDY DESIGN Quasi-experimental study. PLACE AND DURATION OF STUDY Department of General Surgery, Combined Military Hospital, Bahawal Nagar Cantonment, May 2006 to June 2008. METH...

BACKGROUND/AIM Using vacuum in medicine has been known from long ago, however, it has not been used for the treatment of wounds. The first experiments in this field were performed by Wagner Fleischmann, University of Ulm, Ulm, West Germany, in 1993. The aim of this study was to present our clinical experience with the treatment of surgical wounds complications in vascular patients by the use of...

HYPOTHESIS In midline incisions closed with a single-layer running suture, the rate of wound complications is lower when a suture length to wound length ratio of at least 4 is accomplished with a short stitch length rather than with a long one. DESIGN Prospective randomized controlled trial. SETTING Surgical department. PATIENTS Patients operated on through a midline incision. INTERVENT...

OBJECTIVES To investigate negative pressure wound therapy (NPWT) to prevent wound dehiscence and infection after high-risk lower extremity trauma. DESIGN Prospective randomized multicenter clinical trial. SETTING Four Level I trauma centers. PATIENTS/PARTICIPANTS Blunt trauma patients with one of three high-risk fracture types (tibial plateau, pilon, calcaneus) requiring surgical stabiliz...

background: regardless of numerous advances in surgical techniques, selection of the best technique to sew up wounds and the best suture material are still controversial. several postoperative complications, including wound infection, stitched wound, chronic incision pain, wound dehiscence and hernia stitches result from many factors such as used suture material. objectives: the aim of the pres...

Wound dehiscence is the premature opening of a wound along surgical line. It is a surgical complication that results from poor wound healing that can increase significantly the risk of morbidity and mortality. Risk factors in general are age, diabetes, obesity, cancer, emergency surgery, pulmonary diseases, malnutrition, weight loss, anaemia, chemotherapy and radiotherapy. The objective of this...

BACKGROUND Surgical site wound closure plays a vital role in post-operative success. This effect is magnified in regard to commonly performed elective procedures such as total knee arthroplasty. The use of either sutures or staples for skin re-approximation remains a contested subject, which may have a significant impact on both patient safety and surgical outcome. The literature remains divide...

background and aims. wound dehiscence after lower third molar surgery extends the postoperative treatment period and may cause long-standing pain. the aim of this study was to compare wound dehiscence after removal of wisdom teeth in the most prevalent mandibular impaction (mesioangular class ib) by two different soft tissue flap designs. materials and methods. partially-erupted mandibular thir...