Topical antibiotic and delayed primary closure in the management of contaminated surgical incisions

1972 ◽  
Vol 12 (2) ◽  
pp. 70-76 ◽  
Author(s):  
H.Harlan Stone ◽  
T.Roderick Hester
Keyword(s):  
Primary Closure ◽  
Topical Antibiotic ◽  
Delayed Primary Closure ◽  
Surgical Incisions

Experiences with Delayed Primary Closure of War Wounds of the Hand in Viet Nam

1968 ◽  
Vol 50 (5) ◽  
pp. 945-954 ◽  
Author(s):  
WILLIAM E. BURKHALTER ◽  
BRUCE BUTLER ◽  
WALTER METZ ◽  
GEORGE OMER
Keyword(s):  
Primary Closure ◽  
Viet Nam ◽  
War Wounds ◽  
Delayed Primary Closure

Delayed Primary Closure in Damage Control Laparotomy: The Value of the Wittmann Patch

2007 ◽  
Vol 73 (1) ◽  
pp. 10-12 ◽  
Author(s):  
Josef G. Hadeed ◽  
Gregory W. Staman ◽  
Hector S. Sariol ◽  
Sanjay Kumar ◽  
Steven E. Ross
Keyword(s):  
Primary Closure ◽  
Damage Control ◽  
Trauma Surgery ◽  
High Rate ◽  
Damage Control Laparotomy ◽  
Abdominal Closure ◽  
Delayed Primary Closure ◽  
Accepted Practice ◽  
Planned Relaparotomy ◽  
Temporary Closure

Damage control laparotomy has become an accepted practice in trauma surgery. A number of methods leading to delayed primary closure of the abdomen have been advocated; complications are recognized with all these methods. The approach to staged repair using the Wittmann patch (Star Surgical Inc., Burlington, WI) combines the advantages of planned relaparotomy and open management, while minimizing the rate of complications. The authors hypothesized that use of the Wittmann patch would lead to a high rate of delayed primary closure of the abdomen. The patch consists of two sheets sutured to the abdominal fascia, providing for temporary closure. Advancement of the patch and abdominal exploration can be done at bedside. When the fascial edges can be reapproximated without tension, abdominal closure is performed. Twenty-six patients underwent staged abdominal closure during the study period. All were initially managed with intravenous bag closure. Eighty-three per cent (20 of 24) went on to delayed primary closure of the abdomen, with a mean time of 13.1 days from patch placement to delayed primary closure. The rate of closure using the Wittmann patch is equivalent to other commonly used methods and should be considered when managing patients with abdominal compartment syndrome or severe abdominal trauma.

scholarly journals Primary vs delayed primary closure in patients undergoing lower limb amputation following trauma: A randomised control study

2019 ◽  
Vol 17 (2) ◽  
pp. 419-428
Author(s):  
Anand K. Katiyar ◽  
Harshit Agarwal ◽  
Pratyusha Priyadarshini ◽  
Abhinav Kumar ◽  
Subodh Kumar ◽  
...  
Keyword(s):  
Lower Limb ◽  
Primary Closure ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Delayed Primary Closure ◽  
Control Study

scholarly journals Delayed Primary Closure of Wound Prevents Wound Infection after Surgery in Patients with Obstructive Jaundice

2020 ◽  
Vol 14 (1) ◽  
pp. 37-40
Author(s):  
Md Aslam Hossain ◽  
Md Julfiqur Rahman Khan ◽  
SM Rokonuzzaman ◽  
Md Maniruzzaman Khan ◽  
Md Mobaraque Hossain Khan ◽  
...  
Keyword(s):  
Obstructive Jaundice ◽  
Surgical Site Infection ◽  
Wound Infection ◽  
Primary Closure ◽  
Wound Dehiscence ◽  
Control Group ◽  
Site Infection ◽  
Septic Complications ◽  
Delayed Primary Closure ◽  
Experimental Group

Surgery in jaundiced patients is associated with a higher risk of postoperative complications compared with surgery in non jaundiced patients. These complications primarily consists of septic complications, hemorrhage, superficial surgical site infection (SSSI), wound dehiscence and renal disorders. Of them Surgical Site Infection (SSI) is found more commonly than other. This study was done to evaluate the effect of delayed primary closure on preventing wound infection than that of primary closure of wound after surgery in patients with obstructive jaundice. This randomized clinical trial was carried out at the Hepatobiliary and Pancreatic division of Department of Surgery in Bangabandhu Sheikh Mujib Medical University, Dhaka from July 2012 to June 2013. A total of 88 patients were included in this study who underwent surgical intervention for obstructive jaundice. These patients were divided into two groups randomly; control group (n=44) who underwent primary closure of the wound and experimental group (n=44) who underwent delayed primary closure of the wound. Patients demography, clinical presentation, comorbidities, pre, per and post operative variables and outcome were compared between two groups. Mean age of the patients of experimental and control group was 47.91± 14.63 and 42.25±12.13 years respectively. Duration of jaundice was significantly higher in experimental group 4.91±2.87 months than in control group 3.10±1.62 months. Postoperative wound infection was found significantly higher in control group (43.2%) than that of experimental group (11.4%). Postoperative hospital stay was significantly longer in control group (18.77± 6.24 days) than in experimental group (13.52±3.61 days). Delayed primary closure of wound reduces wound infection significantly than primary closure of wound in patients with obstructive jaundice. Faridpur Med. Coll. J. Jan 2019;14(1): 37-40

An alternative technique for the delayed primary closure of traumatic wounds

Injury ◽  
2002 ◽  
Vol 33 (7) ◽  
pp. 647-649 ◽  
Author(s):  
S Ridgeway ◽  
M Sood ◽  
M Enchil-Yawson ◽  
M Rowntree
Keyword(s):  
Primary Closure ◽  
Alternative Technique ◽  
Delayed Primary Closure

Management Strategy for Dirty Abdominal Incisions: Primary or Delayed Primary Closure? A Randomized Trial

2009 ◽  
Vol 10 (2) ◽  
pp. 129-136 ◽  
Author(s):  
Dipesh D. Duttaroy ◽  
Jagtap Jitendra ◽  
Bithika Duttaroy ◽  
Ujjwal Bansal ◽  
Prarthna Dhameja ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Management Strategy ◽  
Primary Closure ◽  
Delayed Primary Closure
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