BURST ABDOMEN: IS IT A PREVENTABLE COMPLICATION? | ||
| The Egyptian Journal of Surgery | ||
| Volume 28, Issue 3, July 2009, Pages 128-132 PDF (303.03 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2009.367598 | ||
| Author | ||
| Wael Lotfy* | ||
| General Surgery Department Faculty of Medicine Zagazig University | ||
| Abstract | ||
| Aim: to evaluate the effectiveness of supporting plastic tubes technique (new technique) in prophylaxis against burst abdomen. Methods: a total of 140 patients, 76 patients underwent emergency laparotomy and 64 underwent elective laparotomy through midline laparotomy through a midline vertical incision. They were randomized to either mass closure alone or mass closure plus supporting plastic tube technique. All patients were consented. Results: There were 3 bursts out of 70 patients in the mass closure alone group (4.28% risk). while none of the patients in the supporting tubes group underwent burst (0% risk).However, there were two cases in the later group developed incisional hernia in the late post-operative period. Conclusion: supporting plastic tubes method is a good prophylactic method against burst abdomen, not for incisional hernia, and it is advised to be used in all risky patients. | ||
| Keywords | ||
| Wound dehiscence; supporting plastic tubes; laparotomy | ||
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