肥胖患者腹式子宫切除术后皮下组织缝合与不缝合对伤口裂开影响的比较
Comparison of closure of subcutaneous tissue versus non-closure in relation to wound disruption after abdominal hysterectomy in obese patients.
作者信息
Kore S, Vyavaharkar M, Akolekar R, Toke A, Ambiye V
机构信息
Department of Obstetrics and Gynaecology, L. T. M. G. Hospital, Sion, Mumbai - 400 022, India.
出版信息
J Postgrad Med. 2000 Jan-Mar;46(1):26-8.
AIMS
To evaluate the role of subcutaneous tissue closure in relation to wound disruption after abdominal hysterectomy in obese patients.
MATERIAL AND METHODS
In a prospective study at a tertiary referral centre in Mumbai, India, 60 obese patients with subcutaneous fat more than 2.5 cms were included in the study. In 30 patients, subcutaneous tissue was closed using synthetic suture (dexon) while in 30 control patients subcutaneous tissue was not closed. Average weight in the study and control groups were 69 -/+ 9.2 kg and 63.3 -/+ 11.2 kg respectively.
RESULTS
The wound disruption occurred in 5 patients in non-closure group as compared to only one in the closure group. Incidence of seroma, haematoma formation and other wound complications were higher in the non-closure group.
CONCLUSIONS
Closure of the subcutaneous tissue after abdominal hysterectomy of women with at least 2.5 cms of subcutaneous tissue lowers the overall rate of complications leading to disruption of the incision.
目的
评估肥胖患者腹式子宫切除术后皮下组织缝合对伤口裂开的作用。
材料与方法
在印度孟买一家三级转诊中心进行的一项前瞻性研究中，纳入了60例皮下脂肪超过2.5厘米的肥胖患者。30例患者使用合成缝线（聚乙醇酸缝线）缝合皮下组织，而30例对照患者未缝合皮下组织。研究组和对照组的平均体重分别为69±9.2千克和63.3±11.2千克。
结果
未缝合组有5例发生伤口裂开，而缝合组仅有1例。未缝合组血清肿、血肿形成及其他伤口并发症的发生率更高。
结论
腹式子宫切除术后，对皮下组织至少有2.5厘米的女性患者缝合皮下组织可降低导致切口裂开的总体并发症发生率。
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