穿孔性虫垂炎に対する Delayed Wound Closure

概要

論文の詳細を見る
Acute appendicitis in children is often accompanied by perforation, and complication such as wound infection frequentry require prolong hospitalization. We encountered 178 children with acute appendicitis between 1979 and 1988 and have performed delayed wound closure since 1983 in those with gangrenous or perforated appendicitis in danger of wound infection. In children with gangrenous appendicitis. no difference was observed in the incidence of wound infection or the hospitalization period between the group treated by primary wound closure and that treated by delayed closure. In children with perforated appendicitis, the incidence of wound infection was significantly lower in the delayed wound closure group (1/13, 8%) than in the primary closure group (12/26, 46%), and the hospitalization period was slightly shorter in the former group (15.0 days) than in the latter group (21.2 days).
日本小児外科学会の論文
1990-05-20