Cosmetic Surgical Repair of Contaminated Wounds Versus Traditional Loose Approximation: Does It Increase the Rate of Wound Infections?
Background:The cosmetic result of the surgical scar has long been considered by surgeons as an important factor for patient satisfaction.On the other hand,there has been an old teaching that perfect closure of contaminated wounds increases the rate of infection. We decided to look into this matter a...
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| Format: | Article |
| Language: | English |
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Iran University of Medical Sciences
2007-02-01
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| Series: | Medical Journal of The Islamic Republic of Iran |
| Subjects: | |
| Online Access: | http://mjiri.tums.ac.ir/browse.php?a_code=A-10-1-229&slc_lang=en&sid=1 |
| _version_ | 1818620322657599488 |
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| author | P. Yavari M. R. Kalantar Motamedi H. Khajouei Kermani A. Afsharfard M. Zeynalzadeh A. Najafbeigi |
| author_facet | P. Yavari M. R. Kalantar Motamedi H. Khajouei Kermani A. Afsharfard M. Zeynalzadeh A. Najafbeigi |
| author_sort | P. Yavari |
| collection | DOAJ |
| description | Background:The cosmetic result of the surgical scar has long been considered by surgeons as an important factor for patient satisfaction.On the other hand,there has been an old teaching that perfect closure of contaminated wounds increases the rate of infection. We decided to look into this matter and see if this is a fact or a myth. Methods: In this prospective randomized study conducted on 200 patients with suppurative or gangrenous appendicitis,we closed the wounds with a cosmetic subcuticular suture of 4/0 nylon in 100 patients and in the other 100 patients the wound was approximated loosely with a few stitches of 3/0 nylon in vertical mattress fashion during a 14-month period.Results:There was no significant difference in the rate of wound infection between these two groups.Conclusions:This study shows that perfect closure of the wound with subcuticular closure,which gives a very good cosmetic result in comparison with traditional loose closure, does not increase the rate of wound infection. |
| first_indexed | 2024-12-16T17:51:32Z |
| format | Article |
| id | doaj.art-a78855c829d941ff90b6f5506cc0f0e7 |
| institution | Directory Open Access Journal |
| issn | 1016-1430 2251-6840 |
| language | English |
| last_indexed | 2024-12-16T17:51:32Z |
| publishDate | 2007-02-01 |
| publisher | Iran University of Medical Sciences |
| record_format | Article |
| series | Medical Journal of The Islamic Republic of Iran |
| spelling | doaj.art-a78855c829d941ff90b6f5506cc0f0e72022-12-21T22:22:17ZengIran University of Medical SciencesMedical Journal of The Islamic Republic of Iran1016-14302251-68402007-02-01204158160Cosmetic Surgical Repair of Contaminated Wounds Versus Traditional Loose Approximation: Does It Increase the Rate of Wound Infections?P. YavariM. R. Kalantar MotamediH. Khajouei KermaniA. AfsharfardM. ZeynalzadehA. NajafbeigiBackground:The cosmetic result of the surgical scar has long been considered by surgeons as an important factor for patient satisfaction.On the other hand,there has been an old teaching that perfect closure of contaminated wounds increases the rate of infection. We decided to look into this matter and see if this is a fact or a myth. Methods: In this prospective randomized study conducted on 200 patients with suppurative or gangrenous appendicitis,we closed the wounds with a cosmetic subcuticular suture of 4/0 nylon in 100 patients and in the other 100 patients the wound was approximated loosely with a few stitches of 3/0 nylon in vertical mattress fashion during a 14-month period.Results:There was no significant difference in the rate of wound infection between these two groups.Conclusions:This study shows that perfect closure of the wound with subcuticular closure,which gives a very good cosmetic result in comparison with traditional loose closure, does not increase the rate of wound infection.http://mjiri.tums.ac.ir/browse.php?a_code=A-10-1-229&slc_lang=en&sid=1AppendectomyWound infectionSubcuticular SutureVertical Mattress Suture |
| spellingShingle | P. Yavari M. R. Kalantar Motamedi H. Khajouei Kermani A. Afsharfard M. Zeynalzadeh A. Najafbeigi Cosmetic Surgical Repair of Contaminated Wounds Versus Traditional Loose Approximation: Does It Increase the Rate of Wound Infections? Medical Journal of The Islamic Republic of Iran Appendectomy Wound infection Subcuticular Suture Vertical Mattress Suture |
| title | Cosmetic Surgical Repair of Contaminated Wounds Versus Traditional Loose Approximation: Does It Increase the Rate of Wound Infections? |
| title_full | Cosmetic Surgical Repair of Contaminated Wounds Versus Traditional Loose Approximation: Does It Increase the Rate of Wound Infections? |
| title_fullStr | Cosmetic Surgical Repair of Contaminated Wounds Versus Traditional Loose Approximation: Does It Increase the Rate of Wound Infections? |
| title_full_unstemmed | Cosmetic Surgical Repair of Contaminated Wounds Versus Traditional Loose Approximation: Does It Increase the Rate of Wound Infections? |
| title_short | Cosmetic Surgical Repair of Contaminated Wounds Versus Traditional Loose Approximation: Does It Increase the Rate of Wound Infections? |
| title_sort | cosmetic surgical repair of contaminated wounds versus traditional loose approximation does it increase the rate of wound infections |
| topic | Appendectomy Wound infection Subcuticular Suture Vertical Mattress Suture |
| url | http://mjiri.tums.ac.ir/browse.php?a_code=A-10-1-229&slc_lang=en&sid=1 |
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