Closure of abdominal incisions with subcutaneous catheters. A prospective randomized trial.
Publication/Presentation Date
6-1-1986
Abstract
A preliminary report from our institution suggested that closure of abdominal incisions with subcutaneous, closed-suction catheters intermittently irrigated with antibiotic resulted in decreased wound infection rates. To test this hypothesis, a prospective, randomized, controlled trial was undertaken to compare the results of primary closure, subcutaneous catheter irrigated with saline or antibiotic, and subcutaneous catheter alone. During the two-year trial, 3,282 incisions (type II, III, or IV) were analyzed. Subcutaneous catheter placement alone or with antibiotic or saline irrigation was not superior to primary closure for type II or III incisions. A trend favoring subcutaneous catheter and antibiotic irrigation was observed for type IV incisions. This finding suggests that further clinical trials designed to assess the role of subcutaneous catheter placement and antibiotic irrigation in decreasing wound infection rates are warranted in type IV incisions.
Volume
121
Issue
6
First Page
641
Last Page
648
ISSN
0004-0010
Published In/Presented At
Farnell, M. B., Worthington-Self, S., Mucha, P., Jr, Ilstrup, D. M., & McIlrath, D. C. (1986). Closure of abdominal incisions with subcutaneous catheters. A prospective randomized trial. Archives of surgery (Chicago, Ill. : 1960), 121(6), 641–648. https://doi.org/10.1001/archsurg.1986.01400060035003
Disciplines
Medicine and Health Sciences
PubMedID
2939815
Department(s)
Department of Surgery
Document Type
Article