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Abdominal wound closure in the presence of sepsis: our experience with the use of subcutaneous drain.
Ghana Med J
March 2024
Department of Surgery, University College Hospital, Ibadan, Nigeria.
Objectives: Patients requiring surgery for secondary peritonitis demonstrate a significantly increased risk for incisional surgical site infection. This study aimed to evaluate the efficacy of subcutaneous wound drain post-laparotomy for contaminated surgical wounds.
Design: This was a prospective comparative hospital-based study.
A Prospective Study on the Outcome After Mass Closure of Post-laparotomy Wound Dehiscence in a Tertiary Care Hospital, Tamil Nadu, India.
Cureus
May 2024
Department of Community Medicine, Chettinad Hospital and Research Institute, Chennai, IND.
Introduction The ideal abdominal wound closure provides strength and a barrier to infection. The major cause of morbidity following any laparotomy is abdominal wound dehiscence. For prompt patient recovery and outcome factors influencing wound healing following mass closure of post-laparotomy, wound dehiscence patients are evaluated in this present study.
View Article and Find Full Text PDFA Prospective Randomized Controlled Trial Comparing Clinical Equivalence of PD Synth and PDS Polydioxanone Sutures.
Cureus
December 2023
Department of Clinical Affairs, Healthium Medtech Limited, Bengaluru, IND.
Article Synopsis
- Incisional hernias can develop years after midline laparotomy, and this study compares the effectiveness of two types of sutures—PD Synth and PDS—in preventing them.
- A total of 88 patients were randomly assigned to receive either PD Synth or PDS sutures during their surgeries, with the main goal of assessing the incidence of incisional hernia and other related complications over a year.
- Results showed that both sutures had similar effectiveness, with only one hernia reported in each group, indicating that both can be used interchangeably for abdominal closure after surgery.
Effectiveness of 3-Day Prophylactic Negative Pressure Wound Therapy on Closed Abdominal Incisions in the Prevention of Wound Complications: A Randomized Controlled Trial.
J Gastrointest Surg
August 2023
Department of General Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt.
Objective: To determine the impact of negative pressure wound therapy of closed abdominal incisions on wound complications.
Background: Surgical wound complications including surgical site infection complicating open abdominal operations are a burden on the economy. The outcomes of SSI include prolonged hospital stays, adjuvant treatment delay, and incisional hernias leading to a decrease in the quality of life.
Prophylactic onlay mesh at emergency laparotomy: promising early outcomes with long-acting synthetic resorbable mesh.
ANZ J Surg
September 2022
Department of Surgery, Letterkenny University Hospital, Letterkenny, Ireland.
Background: Careful surgical strategy is paramount in balancing the prevention of fascial dehiscence, incisional hernia (IH) and fear of additional mesh-related wound complications post-laparotomy. This study aims to review early outcomes of patients undergoing an emergency laparotomy with prophylactic TIGR® mesh, used to reduce early fascial dehiscence and potential subsequent IH.
Method: A retrospective, ethically approved review of 24 consecutive patients undergoing prophylactic TIGR® mesh placement during emergency laparotomies by a single surgeon between January 2017 and June 2021 at a University Hospital.
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