Management of abdominal wounds in thermally injured patients

Cleon W. Goodwin, William F. McManus, Arthur D. Mason, Basil A. Pruitt

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Over a 10-year period, 103 burned patients (mean age, 25 years; mean burn size, 43% of the total body surface) required an intra-abdominal operation. Life- threatening complications dictated operative intervention, and the complications resulted in increased mortality. Abdominal incisions dehisced in 33 patients. In 75 patients whose 91 incisions were closed with retention sutures, 18 wounds (20%) separated postoperatively, including seven in which synthetic sutures disrupted. In 28 patients whose 35 abdominal incisions were closed without retention sutures, 15 wounds (43%) dehisced. Placement of the abdominal incision through the burn wound appeared not to affect the incidence of dehiscence. When an abdominal operation is required in burned patients, their wounds should be closed by stainless steel wire, usually as retention sutures, placed through all muscle and fascial layers of the abdominal wall.

Original languageEnglish (US)
Pages (from-to)92-97
Number of pages6
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume22
Issue number2
DOIs
StatePublished - Feb 1982

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

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