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儿童单层腹部伤口闭合术。

Single layer abdominal wound closure in children.

作者信息

Narasimharao K L, Chatterjee H, Parkash S

出版信息

Aust N Z J Surg. 1983 Dec;53(6):577-9. doi: 10.1111/j.1445-2197.1983.tb02511.x.

DOI:10.1111/j.1445-2197.1983.tb02511.x
PMID:6365064
Abstract

A single layer closure of abdominal incisions was done, including the skin, musculo-aponeurotic layer and peritoneum, with a modified 'figure-of-eight' technique, using thick monofilament nylon interrupted sutures. This technique leaves no suture material in the wound after suture removal on the 14th postoperative day. One hundred and fifty-two transverse incisions of the abdomen in children of all ages were analysed. Easy closure in difficult cases, no wound dehiscence and a greatly reduced infection rate are the advantages. We recommend this technique as a routine, particularly in poor risk patients, contaminated wounds and closure of colostomy wounds.

摘要

采用改良的“8”字技术,使用粗单丝尼龙间断缝合线对腹部切口进行单层缝合,包括皮肤、肌筋膜层和腹膜。术后第14天拆线后,伤口内不留缝线材料。对各年龄段儿童的152例腹部横切口进行了分析。该技术的优点是在困难病例中易于缝合、无伤口裂开且感染率大大降低。我们建议将该技术作为常规方法,特别是对于高危患者、污染伤口和结肠造口伤口的缝合。

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