 |
|
Principles of Abdominal Wound ClosureII. Prevention of Wound Dehiscence
Richard J. Sanders, MD;
David DiClementi
Arch Surg. 1977;112(10):1188-1191.
Abstract
• Among 4,000 abdominal wound closures, there were 11 dehiscences. In eight, the original wound was closed with retention or large figure-of-8 sutures. When the wounds were resutured, the same basic technique of large tissue bites at close intervals was used, but this time the wounds remained intact. Therefore, it was concluded that the cause of the dehiscence was not poor tissues, but poor technique: the first sutures either had too small bites, were placed too far apart, or were tied too tightly. We describe a closure technique using buried figure-of-eight retention sutures tied very loosely. An additional running suture approximates the fascial edges. This method was used in 126 patients, with but one failure, caused by improper knot tying. In a separate clinical study, no difference in wound tension was found between vertical and transverse incisions.
(Arch Surg 112:1188-1191, 1977)
Author Affiliations
From the Department of Surgery, University of Colorado Medical Center, Denver.
Footnotes
Accepted for publication June 10, 1977.
Reprint requests to 4545 E 9th Ave, Denver, CO 80220 (Dr Sanders).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Changes in Knot-Holding Capacity of Sliding Knots In Vivo and Tissue Reaction
Babetty et al.
Arch Surg 1998;133:727-734.
ABSTRACT
| FULL TEXT
Abdominal Wound Closure With a Continuous Monofilament Polypropylene Suture: Experience With 1,000 Consecutive Cases
Knight and Griffen
Arch Surg 1983;118:1305-1308.
ABSTRACT
|
