A review of 32 abdominal wound dehiscences in a five-year period shows an incidence of 0.51%. Important factors are preexisting pulmonary disease, "malnutrition," intraoperative contamination (often minimal), gastrointestinal distention, and aggressive tracheobronchial toilet in the postoperative period. Incision direction and type of closure have little influence on dehiscence rates. Wound dehiscence results in a substantial prolongation of hospital stay. Promptly recognized and treated, wound dehiscence is no longer a highly lethal complication.
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http://dx.doi.org/10.1001/archsurg.1979.01370260033004 | DOI Listing |
BMJ Open
January 2025
Department of Surgery, Alberta Health Services, Calgary, Alberta, Canada.
Introduction: To improve surgical quality and safety, health systems must prioritise equitable care for surgical patients. Racialised patients experience worse postoperative outcomes when compared with non-racialised surgical patients in settler colonial nation-states. Identifying preventable adverse outcomes for equity-deserving patient populations is an important starting point to begin to address these gaps in care.
View Article and Find Full Text PDFJAMA Dermatol
January 2025
Department of Dermatology, School of Medicine, University of North Carolina at Chapel Hill.
Importance: Surgery is frequently required for hidradenitis suppurativa (HS) treatment, but the impact of common comorbidities such as obesity, diabetes, and smoking on outcomes has been sparsely studied.
Observations: A total of 12 studies met final inclusion criteria for investigating complication rates associated with at least 1 comorbidity. Complication rates were associated with obesity in 3 of 10 studies.
Cureus
December 2024
Breast Surgery, James Cook University Hospital, Middlesbrough, GBR.
Introduction: Breast surgeries are classified as clean procedures associated with a lower risk of post-operative infections; however, the reported infection rates post-breast surgeries are still significantly high. Surgical site infections (SSIs) are indeed one of the most common and serious complications following breast surgery.
Methodology: A retrospective study assessed the rate of SSIs post-breast reconstructive surgery after the implementation of the infection control protocol at James Cook University Hospital and Friarage Hospital from December 2022 to June 2024.
J Hand Microsurg
January 2025
Rothman Orthopaedic Institute, 925 Chestnut Street, Philadelphia, PA, 19107, USA.
Background: Suture selection in elective hand surgery closures has traditionally been non-absorbable sutures (NAS) rather than absorbable sutures (AS). The goal of this study was to evaluate absorbable versus non-absorbable closures of various primary elective hand procedures. Our group hypothesized that no differences in major short-term outcomes would exist.
View Article and Find Full Text PDFPlast Surg (Oakv)
February 2025
Department Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington, DC, USA.
Rectovaginal fistula (RVF) remains a complex complication following gender-affirming vaginoplasty. This review aims to evaluate RVF repair techniques and outcomes following vaginoplasty. A systematic review was performed per PRISMA guidelines.
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