Aim: To assess experimentally different laparotomy closure techniques.
Material And Methods: Experimental research on laboratory animals was performed. Laboratory animals underwent laparotomy followed by aponeurosis suturing by using of interrupted, continuous suture and continuous suture with an arrangement of stitches at different levels. Tensometric and histological examination of tissue specimens together with sutures was made in 7, 14, 60 days after surgery.
Results: Correlation of laparotomy closure technique with values of durability, elasticity and wound process course was obtained.
Conclusion: Continuous suture after laparotomy promotes the formation of more mature granulation tissue and more solid scar with low elasticity compared with interrupted sutures.
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http://dx.doi.org/10.17116/hirurgia2017637-40 | DOI Listing |
J Surg Case Rep
January 2025
Cork University Hospital, Wilton, Cork, T12 DC4A, Republic of Ireland.
We describe the case of a 43-year-old woman presented with an 8-month history of intermittent non-specific abdominal pain. She had an Intrauterine Contraceptive Device (IUCD) inserted 4-years ago and the device was still in-situ. After initial gynaecological assessment, further clinical radiological investigations, computerized tomography imaging showed that the intraluminal part of the radiological foreign body was seen to be possibly perforating the sigmoid colon after having migrated.
View Article and Find Full Text PDFCureus
November 2024
Department of General Surgery, Juntendo University Nerima Hospital, Tokyo, JPN.
An obturator hernia (OH) is a rare type of hernia that accounts for a very small proportion of all hernias and cases of small bowel obstruction. This condition predominantly affects older, underweight individuals, with the vast majority of patients being women. Laparotomy with simple suture closure of the defect is commonly used as surgical treatment for OH.
View Article and Find Full Text PDFJ Surg Case Rep
December 2024
Department of Surgery, Arrowhead Regional Medical Center, 400 N Pepper Ave, Colton, CA 92324, United States.
Managing patients with severe fixation of intra-abdominal contents, known as frozen abdomen, often creates a vicious cycle of tissue injury that further prolongs open abdomen resolution. We share the management course of a 28-year-old male status post motor vehicle accident with traumatic pancreatitis and complex liver injury. Following multiple laparotomies for abdominal wash out, he developed a frozen abdomen and an entero-atmospheric fistula (EAF) through granulated bowel.
View Article and Find Full Text PDFCir Esp (Engl Ed)
December 2024
Abdominal Wall Unit, Parc de Salut Mar, Hospital del Mar, Barcelona, Spain.
Objectives: To evaluate the knowledge of abdominal wall closure in a cohort of specialist general surgeons who are members of the AEC and to see its adequacy with current recommendations. Sub-analysis in terms of years of specialization.
Material And Methods: Individual questionnaire of 21 questions on abdominal wall closure in elective and urgent context.
J Abdom Wall Surg
November 2024
Department of Surgery, UD of Medicine of Vall d'Hebron, Universitat Autònoma de Barcelona, Abdominal Wall Surgery Unit, General and Digestive Surgery Department, Hospital Universitari Vall d'Hebrón, Barcelona, Spain.
Aim: To discuss extended retrorectal abscess secondary to blunt abdominal trauma as a cause of abdominal wall (AW) infection and impairment.
Methods: According to the CARE checklist, we describe a rare case of blunt abdominal trauma with late diagnosis of jejunal perforation with an abscess that extensively dissected the retromuscular space.
Results: A 65 years-old female patient experienced multiple traumas after a traffic collision.
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