Affiliation:
1. Surgical Unit, Westminster Hospital, London SW1
Abstract
Abstract
Closure of vertical laparotomy wounds was randomized between a two-layer technique of continuous catgut to peritoneum and continuous nylon to sheath and a one-layer technique in which the peritoneal suture line was omitted. In 162 two-layer closures there were 4 burst abdomens and 7 wound hernias (6·8 per cent wound failures); in 164 one-layer closures there were 5 burst abdomens and 7 hernias (7·3 per cent failures). Of 21 patients in this series with jaundice, the abdominal wounds dehisced in 3, and 4 patients developed incisional hernias (33·3 per cent failures) compared with a 5·2 per cent failure rate in the 305 non-jaundiced patients (P < 0·01).
Closure of the peritoneum as a separate layer, as widely advised and practised, appears to play no significant role in the healing of the laparotomy wound.
Publisher
Oxford University Press (OUP)
Reference26 articles.
1. The causes of abdominal wound disruption;Alexander;Surg. Gynecol. Obstet.,1966
2. Abdominal wound disruption;Baggish;Obstet. Gynecol.,1975
3. Jaundice and wound healing: an experimental study;Bayer;Br. J. Surg.,1976
4. Incisional hernias;Blomstedt;Acta Chir. Scand.,1972
5. Layered and mass closure of the abdominal wall;Dudley;Br. J. Surg.,1970
Cited by
121 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献