Prophylactic retention sutures in midline laparotomy in high-risk patients for wound dehiscence: A randomized controlled trial

Khorgami, Zhamak; Shoar, Saeed; Laghaie, B.; Aminian, Ali; Araghi, Negin Hosseini; Soroush, Ahmadreza

doi:10.1016/j.jss.2012.05.012

Cited by 44 publications

(34 citation statements)

References 25 publications

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“…Technical deficiencies, COPD, infection, intra-abdominal pressure increase, and malnutrition as well as emergency surgery are considered among risk factors for the development of evisceration in many studies (44). The evisceration rate of elective surgeries in our study group was found to be 0.4%.…”

mentioning

confidence: 53%

An evaluation of treatment results of emergency versus elective surgery in colorectal cancer patients

Bayar

Yılmaz

Akıncı

et al. 2016

UCD

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Objective: Colorectal cancer is still one of the most common causes of cancer related deaths in the world despite improvements in diagnosis and treatment modalities, and application of community-based screening methods. Symptoms of colorectal cancer are non-specific and usually manifest following local progression. A number of patients with advanced stage colorectal cancer present to emergency departments with obstruction as the first sign of disease without any previous symptoms. This presentation is an indication for emergency surgery that has a high rate of morbidity and mortality. In this study, we aimed to determine the factors associated with early diagnosis and survival by comparing postoperative results of colorectal cancer patients who underwent surgery under emergency or elective situation. Material and Methods:Files of colorectal patients treated between 2009-2013 were retrospectively analyzed. Data on patient age, gender, operation type, intraoperative results, length of hospital stay, co-morbidities, postoperative complications and pathological results were evaluated and compared.Results: There was no statistical difference between groups in terms of age, gender, and pathology results (p>0.05). The difference between groups in terms of postoperative length of hospital stay, presence of co-morbid diseases, pathological stage, and postoperative complications was statistically significant (p<0.05). Length of hospital stay, advanced stage on admission, complications such as surgical site infection, evisceration, and anastomosis leakage rates were higher in patients in the emergency surgery group. Conclusion:Risk groups should be determined in order to diagnose colorectal cancer patients at an early stage while they are still asymptomatic, and this information should be incorporated into effective screening programs. This approach will be beneficial to treatment outcomes, complication rates, length of hospital stay, and survival and treatment results. INTRODUCTIONColorectal cancer (CRC) is one of the most frequent cancers with more than one million people worldwide being diagnosed with CRC annually, which is the most common gastrointestinal tract cancer (1). The majority of these neoplasms are endoluminal adenocarcinoma derived from the mucosa, and over 95% of CRC patients benefit from surgery or colonoscopic interventions for premalignant polyps with early diagnosis (2). Despite advances in diagnosis and treatment and dissemination of communitybased screening, colorectal cancer remains to be one of the main reasons of cancer-related deaths in the world (3).

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mentioning

confidence: 53%

An evaluation of treatment results of emergency versus elective surgery in colorectal cancer patients

Bayar

Yılmaz

Akıncı

et al. 2016

UCD

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“…The PRISMA flow diagram of our additional search is shown in Addendum 3 (Key Question M). Eight records were screened by full text [78][79][80][81][82][83][84][85]. Three RCTs on the prevention of burst abdomen using either retention sutures or a reinforced tension line suture in patients with increased risk for wound dehiscence and burst abdomen were identified [78][79][80].…”

Section: Is There a Place For Retention Sutures When Closing A Laparomentioning

confidence: 99%

“…The Summary of Findings is listed in Table 4. Two studies showed favourable results [78,79], but one study reported a high number of adverse events when using retention sutures [80]. Hernia (2015) 19:1-24 11…”

Section: Is There a Place For Retention Sutures When Closing A Laparomentioning

confidence: 99%

European Hernia Society guidelines on the closure of abdominal wall incisions

Muysoms

Antoniou

Bury

et al. 2015

Hernia

510

406

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“…In a study conducted by Khorgami Z et al(2013) prophylactic retention sutures reduce the occurrence of WD following midline laparotomy in high-risk patients with multiple risk factors for impaired wound healing without imposing remarkable postoperative complications 82 . But in our study we got statistical insignificance for this (p<0.05).…”

Section: Discussionmentioning

confidence: 99%

A Nested Case Control Study of the Abdominal Wound Dehiscence in a Rural Hospital in South India

Krishna¹,

Kumar²,

Prasad³

2016

IOSR

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Prophylactic retention sutures in midline laparotomy in high-risk patients for wound dehiscence: A randomized controlled trial

Cited by 44 publications

References 25 publications

An evaluation of treatment results of emergency versus elective surgery in colorectal cancer patients

An evaluation of treatment results of emergency versus elective surgery in colorectal cancer patients

European Hernia Society guidelines on the closure of abdominal wall incisions

A Nested Case Control Study of the Abdominal Wound Dehiscence in a Rural Hospital in South India

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