Management Strategies for Preventing Abdominal Wound Infection Following Emergency Operation

DOI

Bibliographic Information

Other Title
  • 緊急開腹症例の創感染に対する工夫
  • （緊急開腹例において腹腔内の汚染状況に応じた創閉鎖法とその成績について）
  • (Method of Abdominal Wound Closure According to the Grade of Abdominal Contamination and its Results)

Abstract

In emergency abdominal emergency operations, there is insufficient opportunity for the prevention smoking, control of nutrition, control of blood sugar and preparation of the colon, which increases the risk of wound infection. In the case of perforation of the digestive tract, the abdominal cavity is highly contaminated, and protection of the abdominal wound is very important. We analyzed the incidence of wound infection following abdominal emergency operation according to the level of contamination of the abdomen (ileus, impaction by hernia, perforation of the upper digestive tract, perforation of the small intestine, acute appendicitis and colon perforation) before and after the use of the ring-drape. After the introduction of the ring-drape, the wound infection rates decreased in the case of ileus, impaction of nernia and acute appendicitis, whereas no such decrease was found in the case of colon perforation. Use of the ring-drape in abdominal emergency surgery is effective. But, in the case of colon perforation, some other provision is necessary, such as delayed primary closure.

Journal

Keywords

Details 詳細情報について

  • CRID
    1390001204734987008
  • NII Article ID
    130004508844
  • DOI
    10.11231/jaem.30.885
  • ISSN
    18824781
    13402242
  • Text Lang
    ja
  • Data Source
    • JaLC
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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