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

Duttaroy, Dipesh D; Jagtap, Jitendra; Duttaroy, Bithika; Bansal, Ujjwal; Dhameja, Prarthna; Patel, Gunjan; Modi, Nikhil

doi:10.1089/sur.2007.030

Cited by 72 publications

(75 citation statements)

References 31 publications

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“…The abdominal wounds following surgery of a perforated viscus are classified as dirty wounds [1][2][3][4][5][6] , since these wounds are heavily contaminated by the faeculant material and peritoneal exudates, so risk of developing surgical site infection (SSI) is very high with these wounds. [1][2][3][7][8][9] There are many risk factors influencing postoperative wound infections, the method of skin closure is an important factor amongst them.…”

Section: Inroductionmentioning

confidence: 99%

“…[1][2][3][7][8][9] There are many risk factors influencing postoperative wound infections, the method of skin closure is an important factor amongst them. 1 Delayed primary closure (DPC) and primary closure (PC) are two commonly used methods.…”

Section: Inroductionmentioning

confidence: 99%

“…Recent studies performed on dirty abdominal wound closure methods showed no advantage of DPC in terms of decreased wound infection compared with PC. 5 While some studies associate DPC with lower rates of SSI (42.5 % in primary closure vs 2.7% in delayed primary closure) 3 , some show that PC has low SSI rates (9.1% in PC group vs 27.3% in DPC group).…”

Section: Inroductionmentioning

confidence: 99%

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Surgical Site Infection; Comparison of Frequency After Primary and Delayed Primary Closure in Dirty Abdominal Wounds.

Hussain¹

2017

TPMJ

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, Irum Saleem 5ABSTRACT… Objectives: To compare the frequency of surgical site infection after primary and delayed primary wound closure in dirty abdominal wounds. Study Design: Randomized controlled trial. Duration and Setting: This study was carried out over a period of six months from 07-02-2014 to 06-08-2014 in the department of surgery combined military hospital Quetta. Methodology: A total of 190 patients were included in this study. wound was observed for development of surgical site infection post operatively within seven days by the assigned investigator who was unaware of the wound study design. surgical site infection was assessed using Southampton wound grading. Results: Mean age of the patients was 30.89±10.38 and 32.74±9.52 in group A and B, respectively. in group-A, 73 patients (76.8%) and in group-B 66 patients (69.5%) were male while 22 patients (23.2%) of group-A and 29 patients (30.5%) in group-B were female.in group-A surgical site infection was observed in 29 patients (30.5%) and in group-B 12 patients (12.6%) were having surgical site infection. statistically significant difference was found between two groups (p=0.003). Conclusion: The frequency of surgical site infection was significantly lower after delayed primary closure of dirty wounds as compared to primary closure.

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Section: Inroductionmentioning

confidence: 99%

Section: Inroductionmentioning

confidence: 99%

Section: Inroductionmentioning

confidence: 99%

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Surgical Site Infection; Comparison of Frequency After Primary and Delayed Primary Closure in Dirty Abdominal Wounds.

Hussain¹

2017

TPMJ

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Section: Inroductionmentioning

confidence: 99%

Untitled

2017

TPMJ

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ABSTRACT… Objectives:To compare the frequency of surgical site infection after primary and delayed primary wound closure in dirty abdominal wounds. Study Design: Randomized controlled trial. Duration and Setting: This study was carried out over a period of six months from 07-02-2014 to 06-08-2014 in the department of surgery combined military hospital Quetta. Methodology: A total of 190 patients were included in this study. wound was observed for development of surgical site infection post operatively within seven days by the assigned investigator who was unaware of the wound study design. surgical site infection was assessed using Southampton wound grading. Results: Mean age of the patients was 30.89±10.38 and 32.74±9.52 in group A and B, respectively. in group-A, 73 patients (76.8%) and in group-B 66 patients (69.5%) were male while 22 patients (23.2%) of group-A and 29 patients (30.5%) in group-B were female.in group-A surgical site infection was observed in 29 patients (30.5%) and in group-B 12 patients (12.6%) were having surgical site infection. statistically significant difference was found between two groups (p=0.003). Conclusion: The frequency of surgical site infection was significantly lower after delayed primary closure of dirty wounds as compared to primary closure.

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“…And Chiang and others in [18], proved that the rate of wound infection is 4.2% in DPC patients presented with perforated appendicitis when compared to 43.9% in 267 PC patients. Duttaroy et al, [15], found that superficial SSI was lower in the DPC than in the PC patients.…”

mentioning

confidence: 92%

Comparison Between Delayed Primary Closure and Immediate Primary Closure of Abdominal Incisions in Patients With Septic Peritonitis.

Raafat¹,

Habib²,

Sallam³

et al. 2018

IJAR

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Background:It is still a point of controversy if performing delayed primary closure (DPC) of abdominal incisions in cases of abdominal septic operations could be able to reduce incidence of surgical-site infection and its bad long term sequels in comparison with immediate primary closure (PC). The Aim: To compare between delayed primary closure and immediate primary closure of abdominal incisions, in patients with peritonitis that results from septic operations regarding superficial surgical site infection. Patients & Methods:we have carried out such study on 60 patients with septic peritonitis that were collected and operated surgically during 2 years in in Department of General Surgery, Zagazig University Hospital. We have divided our cases into 2 groups; Group (1): cases that are managed by immediate PC of the skin and subcutaneous tissue using polypropylene sutures and insertion of subcutaneous drain. Group (2): included cases that are managed by DPC of the skin and subcutaneous tissue, using polypropylene sutures and without insertion of drain. We have followed all patients for 2 weeks for; infection or dehiscence of the wound and for occurrence of burst abdomen, seroma or sub cutaneous collection. Results: we have detected that DPC is better than immediate PC as regard decreasing incidence of wound infection & dehiscence (p=0,009), less liability for occurrence of burst abdomen (p=0.042), sub cutaneous collection (p=0.003) and seroma (p<0.001). Conclusion: performing DPC will be better than immediate PC in management of patients with septic peritonitis.

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

Cited by 72 publications

References 31 publications

Surgical Site Infection; Comparison of Frequency After Primary and Delayed Primary Closure in Dirty Abdominal Wounds.

Surgical Site Infection; Comparison of Frequency After Primary and Delayed Primary Closure in Dirty Abdominal Wounds.

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Comparison Between Delayed Primary Closure and Immediate Primary Closure of Abdominal Incisions in Patients With Septic Peritonitis.

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