Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/7288
Title: The effect of different temporary abdominal closure techniques on fascial wound healing and postoperative adhesions in experimental secondary peritonitis
Authors: Aydin, C.
Aytekin, Faruk Önder
Yenisey, C.
Kabay, Burhan
Erdem, Ergün
Kocbil, G.
Tekin, K.
Keywords: Secondary peritonitis
Temporary abdominal closure
Wound healing
hydroxyproline
propylene
abdominal surgery
animal experiment
animal model
animal tissue
article
bacterial peritonitis
controlled study
fascia
laparotomy
nonhuman
peritoneum adhesion
postoperative complication
priority journal
rat
reoperation
safety
scoring system
skin incision
surgical equipment
surgical technique
tensile strength
tissue level
wound healing
Animals
Bacterial Infections
Bandages
Cecal Diseases
Fascia
Hydroxyproline
Intestinal Perforation
Peritoneal Diseases
Peritonitis
Polyglactin 910
Polypropylenes
Postoperative Complications
Rats
Rats, Sprague-Dawley
Reoperation
Skin
Surgical Mesh
Suture Techniques
Tensile Strength
Tissue Adhesions
Wound Healing
Abstract: Background: Secondary peritonitis causes considerable mortality and morbidity. New strategies have been introduced like relaparotomy and temporary abdominal closure in the management of such persistent intra-abdominal infections. Materials and methods: Rats were divided into five groups each having ten animals. After induction of peritonitis, relaparotomies were done, and the abdomen was closed by different temporary abdominal closure techniques. After performing two relaparotomies during a 48-h period, all fascias closed primarily and incisional tensile strengths, hydroxyproline contents, and adhesions were measured on the following seventh day. Results: The median values of tensile strength and hydroxyproline concentrations were lowest in skin-only closure rats. Intraperitoneal adhesion scores were highest in Bogota bag closure group. Conclusion: Primary, Bogota bag, and polyprolene mesh closures seem to be safe in terms of early fascial wound healing. Although it is easy to perform, skin-only closure technique has deleterious effects on fascial wound healing probably due to fascial retraction. Interestingly, Bogota bag has caused increased intraperitoneal adhesion formation. © 2007 Springer-Verlag.
URI: https://hdl.handle.net/11499/7288
https://doi.org/10.1007/s00423-007-0189-y
ISSN: 1435-2443
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Tıp Fakültesi Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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