Kasdan M L, Chipman J R
University of Louisville School of Medicine.
Orthop Rev. 1987 Aug;16(8):525-8.
Hematoma is one of many complications that can follow surgery for Dupuytren's contracture. In this article, along with a discussion of previously used methods, a technique developed to prevent postoperative palmar hematoma is reviewed. The technique consists of inserting a polyethylene tube into the surgical wound prior to closure and then irrigating the wound with cold Ringer's solution at the rate of approximately 75 cc/hr for 24-36 hours postoperatively. The review involved 101 patients with 124 procedures, 76 of which were performed using the new technique. The incidence of hematoma in the patients without irrigation was 6.3%, while that in the patients with irrigation was 0.0%. No deleterious side effects of this technique were detected.
血肿是Dupuytren挛缩症手术后可能出现的多种并发症之一。在本文中，除了讨论先前使用的方法外，还回顾了一种为预防术后手掌血肿而开发的技术。该技术包括在伤口闭合前将一根聚乙烯管插入手术伤口，然后在术后24至36小时内以约75毫升/小时的速度用冷林格氏液冲洗伤口。该回顾涉及101例患者，共进行了124次手术，其中76次使用了新技术。未进行冲洗的患者中血肿发生率为6.3%，而进行冲洗的患者中血肿发生率为0.0%。未检测到该技术有任何有害副作用。
