Verrier E D, Bossart K J, Heer F W
Am J Surg. 1979 Jul;138(1):22-8. doi: 10.1016/0002-9610(79)90237-x.
A low incidence of infection in abdominal wounds after contaminated, infected, and selected clean-contaminated operations was achieved after delayed wound closure of the skin and subcutaneous tissue. An effective method of delayed primary closure is described. Four days of open wound management with Xeroform gauze between the skin and subcutaneous tissue is followed on the 5th day be removal of the Xerform and skin approximation with Steri-Strips. Proper use of this technique is based upon appropriate assessment of wound contamination and infection risk factors. All contaminated and infected wounds are best managed with delayed primary closure and, when not possible, with healing by secondary intention. Delayed primary closure should be applied to clean-contaminated wounds if the patients are older than 60 years or have associated diabetes mellitus, malnutrition, or obesity.
在对皮肤和皮下组织进行延迟伤口缝合后，污染手术、感染手术以及部分清洁-污染手术后腹部伤口的感染发生率较低。本文描述了一种有效的延迟一期缝合方法。在皮肤与皮下组织之间用凡士林纱布开放伤口处理四天，第五天移除凡士林纱布并用蝶形胶布拉拢皮肤。正确使用该技术基于对伤口污染和感染风险因素的恰当评估。所有污染和感染伤口最好采用延迟一期缝合处理，若无法进行，则采用二期愈合。如果患者年龄超过60岁或伴有糖尿病、营养不良或肥胖症，清洁-污染伤口应采用延迟一期缝合。
