Subcuticular skin closure as a standard approach to emergency appendectomy in children: prospective clinical trial.

Abstract:

:We evaluated the morbidity associated with primary closure by interrupted subcuticular absorbable sutures following emergency appendectomy. In a prospective clinical trial over a 12-month period, 216 children who underwent emergency appendectomy had skin closure using subcuticular interrupted absorbable polyglactin 4-0 sutures. Preoperative prophylactic antibiotics consisting of metronidazole alone or in combination with gentamicin were used in patients with suspected phlegmonous appendicitis; a combination of metronidazole, gentamicin, and ampicillin was used when perforation of the appendix was suspected. Postoperatively, in patients with phlegmonous appendicitis metronidazole was given for 24 hours, whereas in those with peritonitis the triple antibiotics were continued for 7 to 10 days. All patients were assessed for complications resulting from the technique of wound closure. No intraabdominal abscesses or serious complications were recorded. The overall incidence of wound infection was 1.8%. Among children with a perforated appendix the rate of superficial wound infection was 5.7%. There was no difference in the rate of wound infection between patients who received metronidazole alone or metronidazole plus gentamicin preoperatively. All the patients and their families were satisfied with the cosmetic results and with the fact that removal of skin sutures was unnecessary. We conclude that the use of prophylactic antibiotics permits standard skin closure by interrupted absorbable subcuticular suture.

journal_name

World J Surg

journal_title

World journal of surgery

authors

Serour F,Efrati Y,Klin B,Barr J,Gorenstein A,Vinograd I

doi

10.1007/s002689900007

subject

Has Abstract

pub_date

1996-01-01 00:00:00

pages

38-42

issue

1

eissn

0364-2313

issn

1432-2323

journal_volume

20

pub_type

临床试验,杂志文章
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    abstract:BACKGROUND:Macroscopic extrathyroidal extension (ETE) is a poor prognostic factor in papillary thyroid carcinoma (PTC). However, intraoperative inspection for ETE is often inaccurate and could lead the surgeon to misconstrue simple adhesion as gross ETE. Such confusion could result in more aggressive treatment than nec...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-013-2034-5

    authors: Jung SP,Kim M,Choe JH,Kim JS,Nam SJ,Kim JH

    更新日期:2013-07-01 00:00:00

  • Clinical characteristics and prognosis of patients with hepatoblastoma.

    abstract::Hepatoblastoma is a rare pediatric malignancy that frequently appears in an advanced unresectable stage. Improved resectability and survival rate have been reported with the help of neoadjuvant chemotherapy. Between January 1987 and June 1995 a series of 20 patients were managed with a diagnosis of hepatoblastoma. The...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s002680020052

    authors: Jung SE,Kim KH,Kim MY,Kim DY,Lee SC,Park KW,Kim WK

    更新日期:2001-02-01 00:00:00

  • Duodenum-preserving resection of the head of the pancreas in chronic pancreatitis with inflammatory mass in the head.

    abstract::In 141 patients with chronic pancreatitis and an inflammatory enlargement of the head of the pancreas, a duodenum-preserving resection of the head of the pancreas was performed within a 16-year period. The hospital mortality was 0.7%; the late mortality was 5%. Seventy-seven percent of the patients were completely fre...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/BF01670550

    authors: Beger HG,Büchler M

    更新日期:1990-01-01 00:00:00

  • Oncologic outcomes after adjuvant chemotherapy using FOLFOX in MSI-H sporadic stage III colon cancer.

    abstract:BACKGROUND:Little is known of the oncological outcomes after adjuvant FOLFOX chemotherapy in patients with stage III colon cancer showing microsatellite instability high (MSI-H). In the present study we investigated the prognostic impact of MSI-H in patients with stage III colon cancer receiving FOLFOX chemotherapy. M...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-013-2120-8

    authors: Oh SY,Kim DY,Kim YB,Suh KW

    更新日期:2013-10-01 00:00:00

  • Pheochromocytoma with Synchronous Ipsilateral Adrenal Cortical Adenoma.

    abstract:BACKGROUND:Pheochromocytoma with synchronous ipsilateral adrenal cortical adenoma (PSCA) may present with mixed clinical, biochemical, and radiological features characteristic to each neoplasm subtype. METHODS:All patients with a pathological diagnosis of pheochromocytoma were evaluated for an ipsilateral cortical ade...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-017-4110-8

    authors: Hasassri ME,Pandian TK,Bobr AA,Bancos I,Young WF Jr,Richards ML,Farley DR,Thompson GB,McKenzie TJ

    更新日期:2017-12-01 00:00:00

  • Assessment of Capacity to Meet Lancet Commission on Global Surgery Indicators in the Federal Capital Territory, Abuja, Nigeria.

    abstract:BACKGROUND:This is a baseline assessment of surgical capacity in the Federal Capital Territory (FCT), in preparation for the creation of a National Surgical, Obstetric, Anesthesia, and Nursing Plan. METHODS:In October 2017, all 10 of the 11 secondary hospitals in FCT that provide surgical and/or obstetric care were su...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-018-4835-z

    authors: Anderson JE,Ndajiwo AB,Nuhu SA,Lawal OA,Amedu JO,Ameh EA

    更新日期:2019-03-01 00:00:00

  • Nutritional support of the burned patient.

    abstract::Burn patients develop a number of physiologic alterations among which is a markedly increased metabolic rate. Other metabolic changes include an increased rate of glucose production and utilization, a decreased rate of lipid metabolism, and an increased rate of both protein catabolism and anabolism. These alterations ...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/BF02067118

    authors: Waymack JP,Herndon DN

    更新日期:1992-01-01 00:00:00

  • The Positive Lymph Node Number and Postoperative N-Staging Used to Estimate Survival in Patients with Differentiated Thyroid Cancer: Results from the Surveillance, Epidemiology, and End Results Dataset (1988-2008).

    abstract:BACKGROUND:Lymph node metastasis is important when evaluating the prognosis of patients with differentiated thyroid cancer (DTC). However, the current N-staging system cannot fully reflect the clinical significance of cervical lymph node metastasis in DTC. In this study, we employed Surveillance, Epidemiology, and End ...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-017-4343-6

    authors: Wei WJ,Lu ZW,Wen D,Liao T,Li DS,Wang Y,Zhu YX,Wang ZY,Wu Y,Wang YL,Ji QH

    更新日期:2018-06-01 00:00:00

  • Correction to: Differences in Characteristics and Outcome of Patients with Penetrating Injuries in the USA and the Netherlands: A Multi-institutional Comparison.

    abstract::In the original article Dennis Den Hartog's name was tagged incorrectly. It is correct as reflected here. ...

    journal_title:World journal of surgery

    pub_type: 杂志文章,已发布勘误

    doi:10.1007/s00268-019-04957-5

    authors: Dijkink S,Krijnen P,Hage A,Van der Wilden GM,Kasotakis G,Den Hartog D,Salim A,Goslings JC,Bloemers FW,Rhemrev SJ,King DR,Velmahos GC,Schipper IB

    更新日期:2019-05-01 00:00:00

  • Total parenteral nutrition in the management of Crohn's disease.

    abstract::A review of the recent literature is cited in support of the use of total parenteral nutrition (TPN) in Crohn's disease. The principal indications for this use are described and some of the disadvantages are discussed. ...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/BF02393566

    authors: Descos L,Vignal J

    更新日期:1980-01-01 00:00:00

  • Effectiveness of a transanal tube for the prevention of anastomotic leakage after rectal cancer surgery.

    abstract:AIM:We evaluated the effectiveness and safety of a transanal tube placed for the prevention of anastomotic leakage after rectal surgery. METHODS:Between 2007 and 2011, a total of 243 patients underwent anterior resection using the double stapling technique for rectal cancer at our institution. We excluded 67 patients ...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-013-2428-4

    authors: Nishigori H,Ito M,Nishizawa Y,Nishizawa Y,Kobayashi A,Sugito M,Saito N

    更新日期:2014-07-01 00:00:00

  • Investigation of focal hepatic lesions: is tomographic red blood cell imaging useful?

    abstract::Noninvasive diagnosis of cavernous hemangioma of the liver is an important step in the investigation of patients with focal hepatic lesions since biopsy may result in life-threatening hemorrhage. To determine the diagnostic accuracy of 99m-technetium red blood cell (99mTc-RBC) imaging with tomography, 50 patients with...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/BF01658668

    authors: Farlow DC,Chapman PR,Gruenewald SM,Antico VF,Farrell GC,Little JM

    更新日期:1990-07-01 00:00:00

  • Gunshot injuries in the elderly: patterns and outcomes. A national trauma databank analysis.

    abstract:BACKGROUND:Trauma in the elderly (≥ 55 years) accounts for a significant proportion of admissions to trauma centers. Our understanding of the epidemiology and outcomes associated with penetrating injury in this age segment of the population, however, is severely limited. The aim of the present study therefore was to in...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-010-0920-7

    authors: Lustenberger T,Inaba K,Schnüriger B,Barmparas G,Eberle BM,Lam L,Talving P,Demetriades D

    更新日期:2011-03-01 00:00:00

  • A randomized controlled trial comparing post-operative pain in single-incision laparoscopic cholecystectomy versus conventional laparoscopic cholecystectomy.

    abstract:INTRODUCTION:An increasing body of evidence is being published about single-incision laparoscopic cholecystectomy (SILC), but there are no well-powered trials with an adequate evaluation of post-operative pain. This randomized trial compares SILC against four-port laparoscopic cholecystectomy (LC) with post-operative p...

    journal_title:World journal of surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00268-014-2903-6

    authors: Chang SK,Wang YL,Shen L,Iyer SG,Madhavan K

    更新日期:2015-04-01 00:00:00

  • Impact of Hepatic Artery Variations and Reconstructions on the Outcome of Orthotopic Liver Transplantation.

    abstract:BACKGROUND:Donor variational arteries often require complex reconstruction. METHODS:We analysed the incidence of different variations, types of arterial reconstructions and their impact on post-operative results from 409 patients undergoing liver transplantation at Karolinska Institute between 2007 and 2015. RESULTS:...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-020-05406-4

    authors: Karakoyun R,Romano A,Yao M,Dlugosz R,Ericzon BG,Nowak G

    更新日期:2020-06-01 00:00:00

  • Oxygen in wound healing and infection.

    abstract::It is a fundamental clinical observation that wounds do not heal in tissue that does not bleed, and they almost always heal in tissue that bleeds extensively. Continuous supply of oxygen to the tissue through microcirculation is vital for the healing process and for resistance to infection. Evaluation of tissue perfus...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s00268-003-7398-5

    authors: Gottrup F

    更新日期:2004-03-01 00:00:00

  • Cardiovascular events before and after surgery for primary hyperparathyroidism.

    abstract::Cardiovascular disease [atherosclerosis and subsequent myocardial infarction (MI)] has been associated with primary hyperparathyroidism. We aimed at studying cardiovascular events before and after surgery and mortality after surgery for primary hyperparathyroidism using a historical follow-up design. A total of 674 pa...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-002-6541-z

    authors: Vestergaard P,Mollerup CL,Frøkjaer VG,Christiansen P,Blichert-Toft M,Mosekilde L

    更新日期:2003-02-01 00:00:00

  • Diagnosis and treatment of inferior vena caval invasion by hepatic cancer.

    abstract::Hepatectomy with concomitant resection of the inferior vena cava (IVC) has become common for hepatic malignancies involving the IVC. However, diagnosing IVC invasion and the procedure of choice have yet to be standardized. Medical records of nine patients with liver cancer (five metastatic tumors from colorectal cance...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-003-6908-9

    authors: Okada Y,Nagino M,Kamiya J,Yamamoto H,Hayakawa N,Nimura Y

    更新日期:2003-06-01 00:00:00

  • Acceptance of Ambulatory Laparoscopic Cholecystectomy in Central Switzerland.

    abstract:BACKGROUND:Currently, most patients undergoing laparoscopic cholecystectomy (LC) in Switzerland are inpatients for 2-3 days. Due to a lack of available hospital beds, we asked whether day-case surgery would be an option for patients in central Switzerland. The questions of acceptability of outpatient LC and factors con...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-017-4098-0

    authors: Widjaja SP,Fischer H,Brunner AR,Honigmann P,Metzger J

    更新日期:2017-11-01 00:00:00

  • Implementation Analysis of a Perioperative Patient Safety Program in Guatemala.

    abstract:BACKGROUND:The implementation of programs to improve patient safety remains challenging in low- and middle-income countries. The goal of our study was to define the barriers and facilitators to implementation of a perioperative patient safety program in Guatemala. MATERIAL AND METHODS:We conducted semi-structured inte...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-020-05495-1

    authors: Sico IP,Hall BJ,Aguilar-González A,Orozco M,Ramirez C,Baumgartner JN,Boyd D,Bolaños J,Calgua E,Lou-Meda R,Rice HE

    更新日期:2020-07-01 00:00:00

  • Improvement of sleep disturbance and insomnia following parathyroidectomy for primary hyperparathyroidism.

    abstract:BACKGROUND:The aim of the present study was to investigate the incidence of sleep disturbance and insomnia in patients with primary hyperparathyroidism (PHPT), and to evaluate the effect of parathyroidectomy. METHODS:A questionnaire was prospectively administered to adult patients with PHPT who underwent curative para...

    journal_title:World journal of surgery

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00268-013-2285-1

    authors: Murray SE,Pathak PR,Schaefer SC,Chen H,Sippel RS

    更新日期:2014-03-01 00:00:00

  • Home Return After Surgery in Patients Aged over 85 Years is Associated with Preoperative Albumin Levels, the Type of Surgery, and APACHE II Score.

    abstract:BACKGROUND:Owing to an aging society, both the number of operations for patients aged >85 years and the average age of patients admitted to the intensive care unit (ICU) are rapidly increasing. However, mortality is not an appropriate outcome measurement in patients aged >85 years; a more important outcome is home retu...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-016-3830-5

    authors: Lee B,Na S,Park M,Ham S,Kim J

    更新日期:2017-04-01 00:00:00

  • Adrenocortical carcinomas: surgical trends and results of a 253-patient series from the French Association of Endocrine Surgeons study group.

    abstract::Because of the rarity of adrenocortical carcinoma, survival rates and the prognosis for patients who have undergone operation are not well known. The purpose of the French Association of Endocrine Surgery was to evaluate these factors over an 18-year period. A trend study was associated to assess changes in the clinic...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-001-0047-y

    authors: Icard P,Goudet P,Charpenay C,Andreassian B,Carnaille B,Chapuis Y,Cougard P,Henry JF,Proye C

    更新日期:2001-07-01 00:00:00

  • Surgical Methods and Experiences of Surgeons did not Significantly Affect the Recovery in Phonation Following Reconstruction of the Recurrent Laryngeal Nerve.

    abstract:BACKGROUND:We reported phonatory recovery in the majority of 88 patients after recurrent laryngeal nerve (RLN) reconstruction. Here we analyzed factors that might influence the recovery, in a larger patient series. METHODS:At Kuma Hospital, 449 patients (354 females and 95 males) underwent RLN reconstruction with dire...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-016-3634-7

    authors: Yoshioka K,Miyauchi A,Fukushima M,Kobayashi K,Kihara M,Miya A

    更新日期:2016-12-01 00:00:00

  • Immunoguided lymph node dissection in colorectal cancer: a new challenge?

    abstract::Knowledge of lymphatic involvement in patients with colorectal cancer is important in surgery and in the postoperative decision-making process. Fifty-eight patients with recurrent colorectal cancer underwent operation with the RIGS/(Radioimmunoguided Surgery) technology. Preoperatively, patients were injected with 1 m...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-001-0158-5

    authors: Schneebaum S,Troitsa A,Haddad R,Avital S,Kashtan H,Baratz M,Brazovsky E,Papo J,Skornick Y

    更新日期:2001-12-01 00:00:00

  • Early predictor of mortality due to irreversible posthepatectomy liver failure in patients with hepatocellular carcinoma.

    abstract:BACKGROUND:Although mortality after liver resection has declined, posthepatectomy liver failure (PHLF) remains a major cause of operative mortality. To date there is not consensus on a definition for PHLF. However, there have been many efforts to define PHLF causing operative mortality. In the present study we sought t...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-013-1959-z

    authors: Kim SH,Kang DR,Lee JG,Kim DY,Ahn SH,Han KH,Chon CY,Kim KS

    更新日期:2013-05-01 00:00:00

  • Cost-effectiveness of a district trauma hospital in Battambang, Cambodia.

    abstract:BACKGROUND:The Emergency Hospital in Battambang, Cambodia, is essentially a surgical center for victims of injuries. METHODS:Using methods previously described, operating costs were calculated, and effectiveness of treatment was estimated for 957 patients undergoing 895 surgical procedures over a 3 month period (Octob...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-008-9708-4

    authors: Gosselin RA,Heitto M

    更新日期:2008-11-01 00:00:00

  • Identifying, Prioritizing and Visually Mapping Barriers to Injury Care in Rwanda: A Multi-disciplinary Stakeholder Exercise.

    abstract:BACKGROUND:Whilst injuries are a major cause of disability and death worldwide, a large proportion of people in low- and middle-income countries lack timely access to injury care. Barriers to accessing care from the point of injury to return to function have not been delineated. METHODS:A two-day workshop was held in ...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-020-05571-6

    authors: Odland ML,Whitaker J,Nepogodiev D,Aling' CA,Bagahirwa I,Dushime T,Erlangga D,Mpirimbanyi C,Muneza S,Nkeshimana M,Nyundo M,Umuhoza C,Uwitonze E,Steans J,Rushton A,Belli A,Byiringiro JC,Bekele A,Davies J

    更新日期:2020-09-01 00:00:00

  • Out-of-Pocket and Catastrophic Expenses Incurred by Seeking Pediatric and Adult Surgical Care at a Public, Tertiary Care Centre in Uganda.

    abstract:BACKGROUND:Surgical care is critical to establish effective healthcare systems in low- and middle-income countries, yet the unmet need for surgical conditions is as high as 65% in Ugandan children. Financial burden and geographical distance are common barriers to help-seeking in adult populations and are unmeasured in ...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-018-4691-x

    authors: MacKinnon N,St-Louis E,Yousef Y,Situma M,Poenaru D

    更新日期:2018-11-01 00:00:00

  • Technetium-99m-MIBI SPECT/CT in primary hyperparathyroidism.

    abstract::The novel trend toward focused parathyroidectomy requires precise preoperative localization of the parathyroid adenoma in patients with primary hyperparathyroidism (PHPT). The present study evaluated the impact of hybrid single photon emission computed tomography/computed tomography (SPECT/CT), using 99mTc-sestamibi (...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-005-7849-2

    authors: Krausz Y,Bettman L,Guralnik L,Yosilevsky G,Keidar Z,Bar-Shalom R,Even-Sapir E,Chisin R,Israel O

    更新日期:2006-01-01 00:00:00