Delayed primary closure versus primary closure for wound management in perforated appendicitis: A prospective randomized controlled trial
| Autor: | Ruey-An Chiang, Yao-Chung Tsai, Shan-Long Chen |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent delayed primary closure law.invention Randomized controlled trial law medicine Appendectomy Humans Surgical Wound Infection Prospective Studies Closure (psychology) Child Prospective cohort study Aged Aged 80 and over Medicine(all) Perforated Appendicitis primary closure lcsh:R5-920 integumentary system business.industry Incidence Incidence (epidemiology) General Medicine Length of Stay Middle Aged Appendicitis Surgery medicine.anatomical_structure Incision Site Wound management Child Preschool Anesthesia perforated appendicitis Female business lcsh:Medicine (General) Subcutaneous tissue |
| Zdroj: | Journal of the Chinese Medical Association, Vol 75, Iss 4, Pp 156-159 (2012) |
| ISSN: | 1726-4901 |
| Popis: | Background: It is still a matter of debate whether delayed primary closure (DPC) of contaminated abdominal incisions reduces surgical site infections compared with a primary closure (PC). The aim of this study was to determine the optimal method of wound closure for patients with perforated appendicitis. Methods: A total of 70 patients with perforated appendicitis were included. They were randomized to have their surgical incisions (skin and subcutaneous tissue) either PC or left open with Betadine-soaked gauze packing for DPC on the fifth postoperative day or later if the wound conditions were inappropriate for closure. A wound was considered infected if pus discharged from the incision site. The main outcome measures were the incidence of wound infection and the length of hospital stay (LOS). Results: In the entire series, wound infection developed after incision closure in 21.4% of the patients. The PC group had a higher incidence of wound infection (38.9% vs. 2.9%, p |
| Databáze: | OpenAIRE |
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