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婴幼儿腹部伤口的分层缝合与整块缝合

Layered versus mass closure of abdominal wounds in infants and children.

作者信息

Kiely E M, Spitz L

出版信息

Br J Surg. 1985 Sep;72(9):739-40. doi: 10.1002/bjs.1800720923.

DOI:10.1002/bjs.1800720923
PMID:2994795
Abstract

A prospective trial of layered versus mass closure of laparotomy wounds was performed on 507 infants and children over a 33 month period. All wounds were sutured using polyglycolic acid sutures. There were four wound failures including one disruption in the layered closure group and one wound failure in the mass closure group. The incisional hernias healed spontaneously. Either method of closure yields good results and non-absorbable sutures are unnecessary.

摘要

在33个月的时间里,对507名婴幼儿进行了一项关于剖腹手术伤口分层缝合与整块缝合的前瞻性试验。所有伤口均使用聚乙醇酸缝线进行缝合。共有4例伤口愈合不良,其中分层缝合组有1例伤口裂开,整块缝合组有1例伤口愈合不良。切口疝均自行愈合。两种缝合方法均能取得良好效果,无需使用不可吸收缝线。

相似文献

1
Layered versus mass closure of abdominal wounds in infants and children.婴幼儿腹部伤口的分层缝合与整块缝合
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Layer closure of laparotomy wounds with absorbable and non-absorbable suture materials.使用可吸收和不可吸收缝合材料进行剖腹手术伤口的分层缝合。
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引用本文的文献

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Closure methods for laparotomy incisions for preventing incisional hernias and other wound complications.用于预防切口疝及其他伤口并发症的剖腹手术切口闭合方法。
Cochrane Database Syst Rev. 2017 Nov 3;11(11):CD005661. doi: 10.1002/14651858.CD005661.pub2.
2
Ostomy Closures in Children: Variations in Perioperative Care Do Not Change the Outcome.儿童造口关闭术:围手术期护理的差异不会改变结果。
Indian J Surg. 2015 Dec;77(Suppl 3):1131-6. doi: 10.1007/s12262-015-1212-0. Epub 2015 Jan 19.
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Postoperative abdominal evisceration in children: possible risk factors.
儿童术后腹腔脏器脱出:可能的危险因素
Pediatr Surg Int. 2006 Aug;22(8):677-80. doi: 10.1007/s00383-006-1722-8. Epub 2006 Jul 5.
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The search for an ideal method of abdominal fascial closure: a meta-analysis.寻找理想的腹部筋膜闭合方法:一项荟萃分析。
Ann Surg. 2000 Mar;231(3):436-42. doi: 10.1097/00000658-200003000-00018.
5
Review of general surgery 1985.普通外科学回顾 1985年
Postgrad Med J. 1986 Jun;62(728):427-44. doi: 10.1136/pgmj.62.728.427.