cosmetic surgical repair of contaminated wounds versus traditional loose approximation: does it increase the rate of wound infections?

نویسندگان

h. khajouei kermani shahid beheshti university of medical sciences, tehran, iranسازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (shahid beheshti university of medical sciences)

a. afsharfard shahid beheshti university of medical sciences, tehran, iranسازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (shahid beheshti university of medical sciences)

m. zeynalzadeh shahid beheshti university of medical sciences, tehran, iranسازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (shahid beheshti university of medical sciences)

a. najafbeigi shahid beheshti university of medical sciences, tehran, iranسازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (shahid beheshti university of medical sciences)

چکیده

abstract background: the cosmetic result of the surgical scar has long been considered by surgeons as an important factor for patient satisfaction. on the other hand, there has been an old teaching that perfect closure of contaminated wounds increases the rate of infection. we decided to look into this matter and see if this is a fact or a myth. methods: in this prospective randomized study conducted on 200 patients with suppurative or gangrenous appendicitis, we closed the wounds with a cosmetic subcuticular suture of 4/0 nylon in 100 patients and in the other 100 patients the wound was approximated loosely with a few stitches of 3/0 nylon in vertical mattress fashion during a 14-month period. results: there was no significant difference in the rate of wound infection between these two groups. conclusions: this study shows that perfect closure of the wound with subcuticular closure, which gives a very good cosmetic result in comparison with traditional loose closure, does not increase the rate of wound infection.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Cosmetic surgical repair of contaminated wounds versus traditional loose approximation: Does it increase the rate of wound infections?

 Abstract Background: The cosmetic result of the surgical scar has long been considered by surgeons as an important factor for patient satisfaction. On the other hand, there has been an old teaching that perfect closure of contaminated wounds increases the rate of infection. We decided to look into this matter and see if this is a fact or a myth. Methods: In this prospective randomized study co...

متن کامل

Comparison of traditional and modern dressings in healing surgical wounds

Up to two centuries ago patients were lucky to survive even minor surgical interventions without contracting life-endangering infections, and having to endure extreme distress. Such advances highlighted the importance of clean dressing and sterility. Lint, gauze and cotton rapidly replaced older types of dressings. Almost a century later another major advance occurred when Winter defined the ph...

متن کامل

Comparison of traditional and modern dressings in healing surgical wounds

Up to two centuries ago patients were lucky to survive even minor surgical interventions without contracting life-endangering infections, and having to endure extreme distress. Such advances highlighted the importance of clean dressing and sterility. Lint, gauze and cotton rapidly replaced older types of dressings. Almost a century later another major advance occurred when Winter defined the ph...

متن کامل

But Does It Increase Survival Rate?

In the early 1960s, we used the few antiarrhythmic drugs available empirically, presuming that every premature ventricular contraction had to be suppressed. This presumption spurred ever greater effort, much of it going into antiarrhythmic drug development.' Throughout the 1980s, one new drug was being developed about every six months,2 and the number of antiarrhythmic prescriptions rose expone...

متن کامل

: the effect of sericin levels (silk glue protein) on rate of in vitro maturation, fertilization and culture of sheep oocytes

هدف از آزمایش اول بررسی اثر سطوح مختلف سریسین [0 (control), 0.1, 0.5, 1.0, 2.5 %] افزوده شده به محیط , ivm بر cumulus cell expansion، بلوغ هسته و توسعه متوالی جنین، در گوسفندان نژاد سنجابی در فصل تولید مثلی می باشد. از سرگیری میوز به وسیله خارج شدن اولین پولار بادی اندازه گیری و هم چنین درصد رسیدن جنین های دو سلولی به مرحله کلیواژ و بلاستوسیت نیز به عنوان نشانه ای از میزان شایستگی توسعه اولیه ج...

the effect of explicit versus implicit error correction on writing of iranian intermediate efl learners

در این پایان نامه دو روش اصلاح اشتباهات نوشتاری زبان آموزان بزرگسال ایرانی در سطح متوسط مورد بررسی قرار می گیرد. در روش اول (explicit) اشتباهات بطور مستقیم و در روش دوم (implicit) اشتباهات بصورت غیر مستقیم اصلاح می شود. برای انجام این تحقیق از دو گروه 15 نفری استفاده شده است. به زبان آموزان در هر جلسه یک موضوع انشا داده شده است. این کار در 15 هفته (15 جلسه) تکرار شده است. مقایسه نتایج این آزمون...

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
medical journal of islamic republic of iran

جلد ۲۰، شماره ۴، صفحات ۱۵۸-۱۶۰

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023