conclusions vacuum-assisted abdominal closure is a good technique for temporary abdominal closure. in patients who are unable to achieve fascial closure, skin closure alone is safe. results after 157 trauma laparotomies, 35 (22%) were open abdomen cases with an average injury severity score was 35. ninety-four percent of open abdomens occurred after damage-control surgery. temporary vacuum-assi...

background trocar site, incisional hernia is one of the serious complications of laparoscopic surgery. as a result, many surgeons prefer to close the fascia, especially in those sites where a trocar of 10 mm in size or larger has been inserted. on the other hand, suturing the fascia may lead to damage of other tissues, such as the intestines; hence, some surgeons prefer not to close the fascia....

Objective(s) The process of wound healing involves tightly integrated events including inflammation, granulation tissue formation and remodeling. Systemic administration of L-arginine promotes wound healing but its global side effects are undesirable. To confine the action of L-arginine at the site of injury, we tested the effects of local administration of L-arginine on the healing of excisio...

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...

abstract background: the cosmetic result of the surgical scar has long been considered by surgeons as an important factor for patient satisfaction. on the other hand, there has been an old teaching that perfect closure of contaminated wounds increases the rate of infection. we decided to look into this matter and see if this is a fact or a myth. methods: in this prospective randomized study con...