Military surgical practices of the United States Army in Vietnam

New “sutureless” technique of ileostomy and colostomy

“…Delayed-primary wound closure [3] was reported during the war in Vietnam and has become a standard practice in dealing with wounds that have a high potential for infection. The same principle is used in stoma construction.…”

“…In 1986, a ''sutureless'' technique was discovered by serendipity during performance of an ileostomy, and the same technique was later used for colostomies. The principle of delayed-primary wound healing [3] was applied to prevent infection and consequent complications. The technique is based on established scientific facts.…”

Revolutionary Advances in the Management of Traumatic Wounds in the Emergency Department During the Last 40 Years: Part I

“…Open-wound management with delayed primary closure is recommended for wounds that exhibit a high risk for infection after primary closure. The fundamental bases for delayed primary closure were the experiences of military surgeons who learned repeatedly over the centuries that immediate closure of battle wounds frequently results in infection (45). These wounds are best left open until delayed primary closure can be undertaken 4 days after traumatic injury.…”

Fraturas da diáfise da tíbia

“…For a long time, delayed closure of the injury was recommended, as in the American experience in the World War II and the Vietnam War, when infection rates for delayed closure injuries were 2.5% (24) . The classic study by Gustilo and Anderson (22) on early closure of grade I and II injuries showed an infection rate of 6%, but the closure of grade III injuries led to rates of 44%.…”