Kajiwara Kazuhiro, Kimura Eizo, Nakano Makoto, Takano Hirokuni, Okamoto Aikou
Department of Obstetrics and Gynecology, Jikei University School of Medicine, Tokyo, Japan.
J Obstet Gynaecol Res. 2014 Apr;40(4):1089-97. doi: 10.1111/jog.12312. Epub 2014 Mar 10.
The frequency of wound dehiscence after abdominal surgery has been reported to be approximately 4-29%, and that of surgical site infections is said to be of about 20%. We examined the effectiveness of the subcutaneous J-VAC drain (JVD) in the drainage of bleeding and exudates from surgical wounds.
The study was conducted on 192 patients who underwent abdominal surgery from October 2009 to February 2011, and in whom indwelling JVD were placed. During the study period, JVD (10-Fr) were placed subcutaneously on the anterior surface of the fascia in all patients. We examined the frequency of surgical wound complications.
A longitudinal incision was used in 101 patients, and a transverse abdominal incision was used in 91 patients. Subjects with a subcutaneous fat thickness of 2 cm or thicker accounted for 115 patients. Subcutaneous hematoma was present in three patients, but only two patients (1%) showed dehiscence that required treatment.
This study revealed that subcutaneous JVD is useful for the closure of surgical incisions in gynecology and obstetrics, and that there are no limitations to their applicability.
据报道，腹部手术后伤口裂开的发生率约为4%-29%，手术部位感染率约为20%。我们研究了皮下J-VAC引流管（JVD）在引流手术伤口出血和渗出物方面的有效性。
本研究对2009年10月至2011年2月期间接受腹部手术并留置JVD的192例患者进行。在研究期间，所有患者均在筋膜前表面皮下放置10F的JVD。我们检查了手术伤口并发症的发生率。
101例患者采用纵向切口，91例患者采用腹部横切口。皮下脂肪厚度为2厘米或更厚的患者有115例。3例患者出现皮下血肿，但只有2例（1%）出现需要治疗的伤口裂开。
本研究表明，皮下JVD对妇产科手术切口的闭合有用，且其应用没有局限性。
