Does the peritoneum need to be closed at laparotomy?

Autor:	Harold Ellis, Robert Heddle
Rok vydání:	1977
Předmět:	Male Laparotomy Wound Healing medicine.medical_specialty business.industry General surgery medicine.medical_treatment Suture Techniques Middle Aged Surgery Surgical Wound Dehiscence medicine.anatomical_structure Peritoneum medicine Animals Humans Female Rabbits Suture line business
Zdroj:	British Journal of Surgery. 64:733-736
ISSN:	1365-2168 0007-1323
DOI:	10.1002/bjs.1800641013
Popis:	Closure of vertical laparotomy wounds was randomized between a two-layer technique of continuous catgut to peritoneum and continuous nylon to sheath and a one-layer technique in which the peritoneal suture line was omitted. In 162 two-layer closures there were 4 burst abdomens and 7 wound hernias (6·8 per cent wound failures); in 164 one-layer closures there were 5 burst abdomens and 7 hernias (7·3 per cent failures). Of 21 patients in this series with jaundice, the abdominal wounds dehisced in 3, and 4 patients developed incisional hernias (33·3 per cent failures) compared with a 5·2 per cent failure rate in the 305 non-jaundiced patients (P < 0·01). Closure of the peritoneum as a separate layer, as widely advised and practised, appears to play no significant role in the healing of the laparotomy wound.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4fcf5c46beefc92211d6e5a55457b254 https://doi.org/10.1002/bjs.1800641013 Zobrazit plný text záznamu Plný text