Jensen Thomas Korgaard, Gögenur Ismail, Tolstrup Mai-Britt
Ugeskr Laeger. 2020 Nov 2;182(45).
Closure of an emergency abdominal midline laparotomy is related to potentially serious complications. Main concerns are surgical site infection, wound dehiscence and incisional hernia. In this review, new studies and guidelines are summed up to a set of recommendations applicable to the Danish surgical departments. Surgical strategies concerning primary closure of an emergency laparotomy as well as a strategy towards wound dehiscence are suggested. Suture techniques, negative pressure wound therapy and reinforcement of the abdominal wall with mesh are the topics reviewed.
急诊腹部正中剖腹术的切口闭合与潜在的严重并发症相关。主要关注点是手术部位感染、伤口裂开和切口疝。在本综述中，新的研究和指南被总结为一套适用于丹麦外科科室的建议。文中提出了关于急诊剖腹术一期缝合的手术策略以及针对伤口裂开的策略。缝合技术、负压伤口治疗和用补片加强腹壁是所综述的主题。
