Jalal Vahedian1, Sepideh Jahanian2, Behrouz Banivaheb2, Nima Hemmati2, Mehrnaz Ghavamipour2, Majid Chegini3, Mahdi Alemrajabi4. 1. Department of Surgery, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran. 2. Student Research Committee, School of Medicine, Iran University of Medical Sciences, Tehran, Iran. 3. Firoozgar Clinical Research Development Center (FCRDC), Iran University of Medical Sciences, Tehran, 1981915851, Iran. 4. Firoozgar Clinical Research Development Center (FCRDC), Iran University of Medical Sciences, Tehran, 1981915851, Iran. mahdialemrajabi@gmail.com.
Abstract
BACKGROUND: As the challenge for finding the best abdominal incision closure technique continues, surgeons are aiming to minimize postoperative wound complications such as wound dehiscence and hernia as an acute or late manifestation. In order to achieve this goal, several abdominal opening and closure techniques have been tried. In this article, we describe a method in which we used a nasogastric tube (NGT) in mass closure for patients with fascial dehiscence. METHODS: In this case-series study, a total number of 25 patients participated. All of the patients had abdominal dehiscence after a surgery and had to undergo for another. An NGT was used for abdominal closure. The patients were followed for a month and were examined for any signs and symptoms of fever, infection, pain, material expenses, closing time, and laboratory data. The data were analyzed using SPSS software V.22. Mean ± SD and frequencies were used for describing the variables. RESULTS: The mean NGT mass closure material expenses for each patient were 8400.00 ± 0.00 IRR (around 0.25 US dollars). The mean closure time after the operation was 13.08 ± 3.09 min. There was no evidence of infection among the patients as well as no other complications after the surgery in the 1-month study period. CONCLUSION: Abdominal mass closure with NG tube suturing technique is associated with reduced time required for closure of the incision, incidence of wound dehiscence, and the incidence of incisional hernia as well as infection, with a considerable low cost.
BACKGROUND: As the challenge for finding the best abdominal incision closure technique continues, surgeons are aiming to minimize postoperative wound complications such as wound dehiscence and hernia as an acute or late manifestation. In order to achieve this goal, several abdominal opening and closure techniques have been tried. In this article, we describe a method in which we used a nasogastric tube (NGT) in mass closure for patients with fascial dehiscence. METHODS: In this case-series study, a total number of 25 patients participated. All of the patients had abdominal dehiscence after a surgery and had to undergo for another. An NGT was used for abdominal closure. The patients were followed for a month and were examined for any signs and symptoms of fever, infection, pain, material expenses, closing time, and laboratory data. The data were analyzed using SPSS software V.22. Mean ± SD and frequencies were used for describing the variables. RESULTS: The mean NGT mass closure material expenses for each patient were 8400.00 ± 0.00 IRR (around 0.25 US dollars). The mean closure time after the operation was 13.08 ± 3.09 min. There was no evidence of infection among the patients as well as no other complications after the surgery in the 1-month study period. CONCLUSION: Abdominal mass closure with NG tube suturing technique is associated with reduced time required for closure of the incision, incidence of wound dehiscence, and the incidence of incisional hernia as well as infection, with a considerable low cost.
Authors: Gabrielle H van Ramshorst; Hasan H Eker; Jan A van der Voet; Johannes Jeekel; Johan F Lange Journal: J Gastrointest Surg Date: 2013-05-29 Impact factor: 3.452
Authors: Christoph M Seiler; Thomas Bruckner; Markus K Diener; Armine Papyan; Henriette Golcher; Christoph Seidlmayer; Annette Franck; Meinhard Kieser; Markus W Büchler; Hanns-Peter Knaebel Journal: Ann Surg Date: 2009-04 Impact factor: 12.969