Primary Closure of Clean-Contaminated Wounds over a Silastic Drain

Furthermore, SSIs can lead to poor cosmetic outcomes, increased incisional hernia rates, and decreased patient satisfaction.1' 2 Adult studies have shown the risk of SSIs, in addition to healing time and aesthetics of wound closure, vary significantly with surgical technique.1, 2 The convention...

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Bibliographic Details
Published in:The American surgeon 2019-11, Vol.85 (11), p.513-515
Main Authors: Madabhushi, Vashisht, Bittner, Elizabeth, Skinner, Sean, Ruzic, Ana, Draus, John M.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Adults
Child
Child, Preschool
Dimethylpolysiloxanes - therapeutic use
Drainage - methods
Female
Fistula
Healing
Health risks
Hernia
Humans
Infections
Male
Ostomy
Patient satisfaction
Pediatrics
Population
Population studies
Skin
Studies
Surgery
Surgical Wound Infection - therapy
Wound healing
Wounds
Young Adult
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Summary:Furthermore, SSIs can lead to poor cosmetic outcomes, increased incisional hernia rates, and decreased patient satisfaction.1' 2 Adult studies have shown the risk of SSIs, in addition to healing time and aesthetics of wound closure, vary significantly with surgical technique.1, 2 The conventional technique for wound closure involves fascial and skin linear closure of an elliptical ostomy takedown incision. The risk of infection with pursestring closure has been shown at 3 to 7.5 per cent, significantly lower than other described closure techniques. [...]pursestring closure is associated with almost half the healing time and improved patient satisfaction of aesthetics when compared with conventional closure.1, 2 However, there is no consensus regarding the best way to close clean-contaminated wounds in the pediatric population. Limitations of this study include its retrospective nature. [...]we were unable to control for potential patient-specific or case-specific factors.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313481908501101