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The effect of different temporary abdominal closure techniques on fascial wound healing and postoperative adhesions in experimental secondary peritonitis
- Source :
- Langenbeck's Archives of Surgery. 393:67-73
- Publication Year :
- 2007
- Publisher :
- Springer Science and Business Media LLC, 2007.
-
Abstract
- Background: Secondary peritonitis causes considerable mortality and morbidity. New strategies have been introduced like relaparotomy and temporary abdominal closure in the management of such persistent intra-abdominal infections. Materials and methods: Rats were divided into five groups each having ten animals. After induction of peritonitis, relaparotomies were done, and the abdomen was closed by different temporary abdominal closure techniques. After performing two relaparotomies during a 48-h period, all fascias closed primarily and incisional tensile strengths, hydroxyproline contents, and adhesions were measured on the following seventh day. Results: The median values of tensile strength and hydroxyproline concentrations were lowest in skin-only closure rats. Intraperitoneal adhesion scores were highest in Bogota bag closure group. Conclusion: Primary, Bogota bag, and polyprolene mesh closures seem to be safe in terms of early fascial wound healing. Although it is easy to perform, skin-only closure technique has deleterious effects on fascial wound healing probably due to fascial retraction. Interestingly, Bogota bag has caused increased intraperitoneal adhesion formation. © 2007 Springer-Verlag.
- Subjects :
- tissue level
Dermatologic Surgical Procedures
Tissue Adhesions
Peritoneal Diseases
bacterial peritonitis
Rats, Sprague-Dawley
Secondary peritonitis
Postoperative Complications
peritoneum adhesion
hydroxyproline
Cecal Diseases
postoperative complication
rat
Temporary abdominal closure
Fascia
Polyglactin 910
Skin
article
Bacterial Infections
Fasciotomy
Cardiac surgery
Hydroxyproline
priority journal
Cardiothoracic surgery
Secondary Peritonitis
safety
Reoperation
medicine.medical_specialty
propylene
animal experiment
Wound healing
Peritonitis
Polypropylenes
surgical technique
animal tissue
laparotomy
Tensile Strength
medicine
Animals
controlled study
Closure (psychology)
skin incision
Wound Healing
nonhuman
business.industry
animal model
Suture Techniques
scoring system
Surgical Mesh
Vascular surgery
abdominal surgery
Bandages
Rats
Surgery
Intestinal Perforation
surgical equipment
business
Abdominal surgery
Subjects
Details
- ISSN :
- 14352451 and 14352443
- Volume :
- 393
- Database :
- OpenAIRE
- Journal :
- Langenbeck's Archives of Surgery
- Accession number :
- edsair.doi.dedup.....ab86d53f69870d9a5efb14b5bfe98e3d