scholarly journals Continuous closure, axes closure, and natural closure

2017 ◽  
Vol 370 (5) ◽  
pp. 3315-3362 ◽  
Author(s):  
Neil Epstein ◽  
Melvin Hochster
Keyword(s):  
2019 ◽  
Vol 12 (12) ◽  
pp. e232098 ◽  
Author(s):  
Takashi Sakamoto ◽  
Alan Kawarai Lefor

Left paraduodenal hernias are the most common type of congenital internal hernia, but they are difficult to diagnose without appropriate imaging. A 79-year-old man with a history of recurrent abdominal pain had another similar episode of abdominal pain, which prompted him to seek evaluation. The pain resolved spontaneously on arrival to the hospital. Enhanced CT scan showed the characteristic findings of a left paraduodenal hernia and laparoscopic repair was undertaken. The small intestine was reduced successfully, and the hernia orifice was approximated with a continuous closure. He was discharged uneventfully 4 days after admission. The characteristic clinical and imaging findings of paraduodenal hernias are reviewed. Laparoscopic repair is reasonable in patients who have a paraduodenal hernia without intestinal ischemia.


2012 ◽  
Vol 61 (3) ◽  
pp. 475-491 ◽  
Author(s):  
János Kollár
Keyword(s):  

2020 ◽  
Vol 7 (11) ◽  
pp. 3713
Author(s):  
Chirag B. Aghara ◽  
Ajay M. Rajyaguru ◽  
Jatin G. Bhatt

Background: A midline incision is simple, quick, bloodless and provides excellent exposure. So it is most commonly used access route for emergency laparotomy. But compare to other incision it increases incidence of postoperative wound dehiscence and an incisional hernia. Prevention of this complication is important in reducing post-operative morbidity and mortality. Present study was undertaken to compare the effectiveness of modified Smead Jones versus conventional continuous closure technique in terms of wound infection and wound dehiscence.Methods: A total of 100 patients from July 2017 to November 2019 were randomized in two groups of 50 each. Group A in which linea alba closure was done by modified Smead Jones technique and group B in which linea alba closure was done by conventional continuous closure technique.Results: 12 patients in group A and 28 patients in group B developed wound infection and 1 patient in group A and 7 patients in group B developed wound dehiscence.Conclusions: Modified Smead Jones technique is better than conventional continuous closure technique in management of closure of emergency midline laparotomy. 


1996 ◽  
Vol 32 (6) ◽  
pp. 531-534 ◽  
Author(s):  
JD Newton ◽  
DD Smeak

Simple continuous closure of scrotal urethrostomy in 20 dogs is described. Mean duration of postoperative active bleeding and mean duration of bleeding only associated with urination were 0.2 day and 3.1 days, respectively. Long-term complications were minimal; intermittent urine scald (n = 2), recurrent urinary tract infections (n = 2), and recurrent obstruction due to struvite stones (n = 2) developed after surgery. All complications resolved with medical therapy (n = 4) or by cystotomy (n = 2). None of the dogs had complications due to wound dehiscence, stricture, incisional infections, self-mutilation, or incontinence. Follow-up ranged from two to 52 months (mean, 25.2 months). This technique is a viable alternative to previously reported closure methods.


2017 ◽  
Vol 23 (10) ◽  
pp. S25
Author(s):  
Jin Kirigaya ◽  
Noriaki Iwahashi ◽  
Yasushi Matsuzawa ◽  
Masaaki Konishi ◽  
Nobuhiko Maejima ◽  
...  

2021 ◽  
Vol 28 (04) ◽  
pp. 455-458
Author(s):  
Kaleem Ullah ◽  
Shams Uddin ◽  
Azam Shoib ◽  
Muhmmad Danish Yaseen

Objective: To compare outcome of interrupted versus continuous closure of rectus sheath in emergency laparotomy patients, in terms of wound dehiscence. Study Design: Randomized Controlled Trail. Setting: Department of Casualty Surgical Pir Abdul Qadir Shah Institute of Medical Sciences, Gambat. Period: 1st January to 30th June 2020. Material & Methods: Total duration of study was 6 months. Total of 150 patients (75 in each group) were studied. Interrupted closure of rectus sheath was done in group “A” patients while continuous closure was done in group “B” patients, and efficacy in terms of wound dehiscence was compared in both groups. Results: Overall male to female ratio was1.29:1. The average age of the patients was 39.41 years +13.02SD.   Wound dehiscence in Group “A” was found in 2.6% cases while 6.6% in Group “B” patients. Conclusion: Interrupted closure of Rectus sheath in emergency laparotomy is more effective than continuous closure in preventing wound dehiscence.


2013 ◽  
Vol 2013 ◽  
pp. 1-14
Author(s):  
S. P. Rao ◽  
Q. G. Li

The aim of this paper is to generalize fuzzy continuous posets. The concept of fuzzy subset system on fuzzy posets is introduced; some elementary definitions such as fuzzy -continuous posets and fuzzy -algebraic posets are given. Furthermore, we try to find some natural classes of fuzzy -continuous maps under which the images of such fuzzy algebraic structures can be preserved; we also think about fuzzy -continuous closure operators in alternative ways. An extension theorem is presented for extending a fuzzy monotone map defined on the -compact elements to a fuzzy -continuous map defined on the whole set.


Sign in / Sign up

Export Citation Format

Share Document