Advertisement
Original communication| Volume 1, ISSUE 4, P523-534, April 1937

Postoperative wound separation: Review of cases

      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      • 1.
        1. The incidence of postoperative wound separation in 7,903 consecutive laparotomies was 0.64 per cent.
      • 2.
        2. Of the 50 cases, 49 had secondary closures.
      • 3.
        3. A seasonal variation is shown in our series.
      • 4.
        4. Multiple operations had been performed in 73.5 per cent of the cases.
      • 5.
        5. In 55 per cent of the cases, the operation had lasted one and one-half hours, or longer.
      • 6.
        6. Stay sutures of silkworm-gut or silver wire were used in 36.5 per cent.
      • 7.
        7. The clinical picture in the noninfective cases suggests an allergic reaction.
      • 8.
        8. The mortality following secondary closure was 34 per cent.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Brettauer Joseph
        Three Cases of Rupture of the Abdominal Wound After Coeliotomy.
        Am. Gynec. & Obst. J. 1899; 14: 324
        • Ries Emil
        On Postoperative Separation of Laparotomy Wounds (Postoperative Prolapse of Intestines).
        Am. J. Obst. 1909; 60: 569
        • Freeman L.
        The Cause of Postoperative Rupture of Abdominal Incisions.
        Arch. Surg. 1927; 14: 600
        • Baldwin J.F.
        Postoperative Eventration.
        Am. J. Surg. 1930; 10: 78
        • Sokolov S.
        Postoperative Rupture of Abdominal Wounds With Protrusion or Prolapse of the Viscera.
        Vestnick khir. 1931; 66: 219
        • Sokolov S.
        Surg., Gynec. & Obst.; Internat. Abst. Surg. 1932; 55 (Abstracted in): 157
        • Meleney F.L.
        The Control of Wound Infections.
        Ann. Surg. 1933; 98: 151-153
        • Howes E.
        Strength of Wounds Sutured With Catgut and Silk.
        Surg., Gynec. & Obst. 1933; 57: 309
        • Starr A.
        • Nason L.H.
        Postoperative Rupture of Abdominal Wounds.
        J. A. M. A. 1933; 100: 310-312
        • Brown R.
        Postoperative Rupture of Abdominal Incision.
        S. Clin. North America. 1933; 13: 3-6
        • Grace R.V.
        Disruption of Abdominal Wounds.
        Ann. Surg. 1934; 99: 28-33
        • Heyd C.G.
        Disruption of Abdominal Wounds.
        Ann. Surg. 1934; 99: 39-42
        • Meleney F.L.
        • Howes E.L.
        Disruption of Abdominal Wounds With Protrusion of Viscera.
        Ann. Surg. 1934; 99: 5-13
        • White W.C.
        Disruption of Abdominal Wounds.
        Ann. Surg. 1934; 99: 34-38
        • Colp R.
        Disruption of Abdominal Wounds.
        Ann. Surg. 1934; 99: 14-27
        • Kennedy J.W.
        Practical Surgery of the Joseph Price Hospital.
        in: F. A. Davis Company, Philadelphia1928: 672 (Chap. 19)