The closure of abdominal wounds in cancer patients
β Scribed by Alphonse L. Gallitano; Edward S. Kondi
- Publisher
- John Wiley and Sons
- Year
- 1976
- Tongue
- English
- Weight
- 257 KB
- Volume
- 8
- Category
- Article
- ISSN
- 0022-4790
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β¦ Synopsis
Abstract
A total of 102 abdominal surgical wounds in cancer patients were closed with absorbable suture material. The object of the study was to evaluate whether patients with cancer having possible wound healing impairments could be closed with absorbable sutures, thereby omitting the difficulties involved with retention sutures or nonabsorbable material. Polyglycolic acid sutures were used in the fascia in all of these patients, and they were studied regarding the incidence of wound infection, wound dehiscence, and incisional hernias. There were no instances of wound dehiscence in the entire series. A wound infection rate of 14.8% was encountered. The incidence of incisional hernia following either infection or primary healing was noted to be markedly decreased. The rate of wound dehiscence and wound hernia was sufficiently low to lead us to recommend this type of abdominal wound closure in all cancer patients.
π SIMILAR VOLUMES
A prospective trial of layered versus mass closure of laparotomy wounds was performed on 507 infants and children over a 33 month period. All wounds were sutured using polyglycolic acid sutures. There were four wound failures including one disruption in the layered closure group and one wound failur
## Summary The incidence of wound infection, burst abdomen and incisional herniation after a vertical abdominal incision was studied in a prospective trial comparing polypropylene (Prolene) with polyglycolic acid (Dexon). Wounds were closed by interrupted mass suture with an optional reinforcing co