胃肠外科手术中的腹部伤口裂开
Abdominal wound dehiscence in gastroenterological surgery.
作者信息
Penninckx F M, Poelmans S V, Kerremans R P, Beckers J P
出版信息
Ann Surg. 1979 Mar;189(3):345-52. doi: 10.1097/00000658-197903000-00016.
The occurrence of complete wound dehiscence is analyzed in a group of 4538 patients treated with abdominal surgery. All possible measures for the prevention of wound dehiscence should be taken at the time of operation, especially when two or more of the following predisposing factors are present: male, more than 64-years-old, complicated neoplastic and inflammatory diseases, as well as bleeding and noncomplicated inflammatory diseases (except appendicitis), as well as emergency interventions. The use of Ventrofil plates for the prevention of wound dehiscence is recommended in these cases. It is demonstrated that the incidence of complete wound dehiscence in cases with predisposing factors in significantly decreased when extrapreventive measures are taken at the time of wound closure, what results in a decrease of the frequency by which wound dehiscence after gastrointestinal operations occurs.
对一组4538例接受腹部手术的患者的完全伤口裂开情况进行了分析。手术时应采取所有可能预防伤口裂开的措施，尤其是当存在以下两种或更多诱发因素时：男性、64岁以上、复杂的肿瘤和炎症性疾病、出血和非复杂性炎症性疾病（阑尾炎除外）以及急诊手术。在这些情况下，建议使用Ventrofil板预防伤口裂开。结果表明，在伤口缝合时采取额外预防措施后，有诱发因素病例的完全伤口裂开发生率显著降低，这导致胃肠手术后伤口裂开发生频率下降。
Zotero 插件