Asset Details
Do you wish to reserve the book?
Influence of abdominal-wound closure technique on complications after surgery: a randomised study
Hey, we have placed the reservation for you!
By the way, why not check out events that you can attend while you pick your title.
Oops! Something went wrong.
Looks like we were not able to place the reservation. Kindly try again later.
Are you sure you want to remove the book from the shelf?
Influence of abdominal-wound closure technique on complications after surgery: a randomised study
Do you wish to request the book?
Influence of abdominal-wound closure technique on complications after surgery: a randomised study
Please be aware that the book you have requested cannot be checked out. If you would like to checkout this book, you can reserve another copy
We have requested the book for you!
Your request is successful and it will be processed during the Library working hours. Please check the status of your request in My Requests.
Oops! Something went wrong.
Looks like we were not able to place your request. Kindly try again later.
Journal Article
Influence of abdominal-wound closure technique on complications after surgery: a randomised study
1999
Overview
Wound complications that occur after closure of midline laparotomy remain challenging. A new continuous double-loop closure (CDLC) technique was developed to avoid wound rupture through resistance to high intra-abdominal pressure and continued approximation of wound edges. We investigated the efficacy of this technique.
We randomly assigned 390 patients undergoing midline laparotomy-wound closure with the commonly used continuous running suture (CRS) technique (n=204) or with the CDLC technique (n=186). We assessed the influence of closure technique on the rate of wound and other complications, with emphasis on wound dehiscence, pulmonary complications, and death.
The rate of wound complications did not differ significantly between groups. Pulmonary complications were seen in 11 patients (5·4%) in the CRS group, and in 32 patients (17·2%) in the CDLC group (p=0·0002). In the CRS group, 17 (8·3%) patients died, compared with 39 (21·0%) patients in the CDLC group (p=0·0004).
The CDLC technique should not be used. The lessened compliance of the abdominal wall, which raises intra-abdominal pressure for long periods, may increase the risk of postoperative pulmonary complications and death. The ideal closure technique should combine strength to prevent wound rupture with elasticity to adapt to increased intra-abdominal pressure.
Publisher
Elsevier Ltd,Lancet,Elsevier Limited
Subject
/ Aged
/ Biological and medical sciences
/ Female
/ Humans
/ Injuries
/ Male
/ Pulmonary Circulation - physiology
/ Surgery
/ Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
/ Surgery of the digestive system
/ Surgical Wound Dehiscence - mortality
/ Surgical Wound Dehiscence - pathology
/ Suture Techniques - adverse effects
