Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
Online ISSN : 1882-4781
Print ISSN : 1340-2242
ISSN-L : 1340-2242
Management Strategies for Preventing Abdominal Wound Infection Following Emergency Operation
(Method of Abdominal Wound Closure According to the Grade of Abdominal Contamination and its Results)
Katsuhiko Ito, Takayuki Ishii, Satoru Ootawa, Yoshiaki Shimizu, Eisuke Kondo, Kei Nishiya, Kouya Yokoyama, Kimio Shimizu, Kiyoshi Ogawa
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2010 Volume 30 Issue 7 Pages 885-888

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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.
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© 2010 Japanese Society for Abdominal Emergency Medicine
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