McLachlin A D, Wall W
Can J Surg. 1976 Jan;19(1):37-40.
Infection-prone abdominal incisions in 143 patients were managed by delayed primary closure of the skin and subcutaneous tissue of the abdominal wall. The overall wound infection rate was 1.4% and the rate for 74 open, large bowel operations was 2.7%. These rates compare favourably with a rate of 3.1% for clean inguinal hernia repairs done by the same surgical team over the same period. Delayed primary closure, carried out on the ward 3 days after operation, was simple, easy and did not prolong hospital stay. Its use is recommended in closing all abdominal wounds associated with a special risk of infection.
143例腹部易感染切口患者采用腹壁皮肤和皮下组织延迟一期缝合处理。总体伤口感染率为1.4%，74例开放性大肠手术的感染率为2.7%。与同一手术团队同期进行的清洁腹股沟疝修补术3.1%的感染率相比，这些比率更有利。术后3天在病房进行的延迟一期缝合简单、易行，且未延长住院时间。建议在缝合所有有特殊感染风险的腹部伤口时使用。
