Evidences for wound closure in emergency (contaminated) surgery

DOI
  • Hata Hiroaki
    Department of Surgery, National Hospital Organization, Kyoto Medical Center Infection Control and Prevention, National Hospital Organization, Kyoto Medical Center
  • Degawa Kanako
    Department of Surgery, National Hospital Organization, Kyoto Medical Center
  • Suenaga Takahiro
    Department of Surgery, National Hospital Organization, Kyoto Medical Center
  • Munekage Fumiaki
    Department of Surgery, National Hospital Organization, Kyoto Medical Center
  • Miki Akimori
    Department of Surgery, National Hospital Organization, Kyoto Medical Center
  • Goto Kentaro
    Department of Surgery, National Hospital Organization, Kyoto Medical Center
  • Nakanishi Yasutaka
    Department of Surgery, National Hospital Organization, Kyoto Medical Center
  • Matsusue Ryo
    Department of Surgery, National Hospital Organization, Kyoto Medical Center
  • Yamaguchi Takashi
    Department of Surgery, National Hospital Organization, Kyoto Medical Center

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Other Title
  • 緊急（汚染）手術における創閉鎖法のエビデンス

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<p>Several evidences have been established for procedures to reduce postoperative complications, centering on clean and clean-contaminated wounds, regarding abdominal wall closure. However, there are not many studies on contaminated or dirty wounds that are common in emergency surgery. In this paper, we discuss several procedures such as absorbable/non-absorbable sutures, antimicrobial-coated sutures, irrigation, subcutaneous drains, skin closures, and negative pressure wound therapy, which are applied to clean or clean-contaminated wounds. Also, we checked whether these studies included the patients with dirty or infected wound. Regarding wound closure in emergency (contaminated) surgery, it is important to understand the evidence supporting the procedures performed in elective surgery (clean/clean-contaminated wound), and recognize whether the results can be extrapolated to contaminated/dirty wound. In addition, it is important to constantly update our daily practice with new information, as there is currently a lack of evidence and many techniques are still unstandardized.</p>

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