Reduction of infection rates in abdominal incisions by delayed wound closure techniques

Evaluation of partial wound closure in perforated appendicitis

“…16 The open wound with delayed primary closure has the advantages of reduction of wound infection rate, but with disadvantages of the inconvenience of repeated wound dressings, longer hospital stays and higher healthcare cost. 16,[23][24][25][26] Our study reported wound infection rate of the open method about 16.66% and this is higher than that recorded by the former studies, where the rate was around 4%. This is probably explained by that, in our study the open wound method was applied mostly in severe cases of perforation that is associated with relatively extensive inflammation and contamination.…”

Wound infection after ileostomy closure: a prospective randomized study comparing primary vs. delayed primary closure techniques

“…The commonest complication is wound infection, ranging from 2% to 40%, with an average of approximately 10% [1][2][3][4][5]. Several closure techniques for stoma wound have been described: delayed primary closure (DPC) of the skin is commonly used in dirty operations, to reduce the wound infection rate [6,7]. Some retrospective studies have shown a lower rate of wound infection with DPC than with primary closure (PC) of the stoma wound [8].…”

Primary and Secondary Healing in Infected Wounds

“…In the secondaryclosure subgroups the incidence of abscess formation was 3.6% in controls, 3.3% in the S awrews-infected wounds, and 6.8% in the E co/t-infected wounds. In the primaryclosure subgroup, abscesses occurred in 1.7% of the control wounds, 25.4% of the S awrews-infected wounds, and 31.7% of the E coZi-infected wounds.…”

“…Verrier et al, 3 Heaton et al,4 and others58 reported decreased infection rates using delayed primary closure in clinical practice. Detailed studies of skin biomechanical properties after delayed closure have been undertaken by Shephard' and more recently by Fogdestam,10 and the characteristics of tape-closed skin wounds were studied by Experimental studies of infections in primarily closed wounds have produced conflicting results.…”