Abstract
Forty consecutive patients who developed subcutaneous abscesses after intraperitoneal operations were treated by incision and drainage followed by suture of the wound four days later under antibiotic cover. The wound was closed by means of interrupted Prolene® sutures. No sutures were placed in the wound cavity, and no drain was applied. The antibiotic used was clindamycin 600 mg intravenously peroperatively and 150 mg every six hours for four days.
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References
Wilson DH. The late results of anorectal abscess treated by incision, curettage, and primary suture under antibiotic cover. Br J Surg 1964;51:828–31.
Leaper DJ, Page RE, Rosenberg IL, Wilson DH, Goligher JC. A controlled study comparing the conventional treatment of ideopathic anorectal abscess with that of incision, curettage and primary suture under systemic antibiotic cover. Dis Colon Rectum 1976;19:46–50.
Blick PWH, Flowers MW, Marsden AK, Wilson DH, Ghoneim ATM. Antibiotics in surgical treatment of acute abscesses. Br Med J 1980;281:111–2.
Howe CW. Technique of conversion and closure of postoperative septic wounds. Surg Gynecol Obstet 1967;125:123–6.
Robson MC, Shaw RC, Heggers JP. The reclosure of postoperative incisional abscesses based on bacterial quantification of the wound. Ann Surg 1970;171:279–82.
McIlrath DC, van Heerden JA, Edis AJ, Dozois RR. Closure of abdominal incisions with subcutaneous catheters. Surgery 1976;80:411–6.
Coles B, van Heerden JA, Keys TF, Haldorson A. Incidence of wound infection for common general surgery. Surg Gynecol Obstet 1982;154:557–60.
Elek SD, Conen PE. The virulence of Staphylococcus pyogenes for man. A study of the problems of wound infection. Br J Exp Pathol 1957;38:573–86.
Katz S, Izhar M, Mirelman D. Bacterial adherence to surgical sutures. A possible factor in suture induced infection. Ann Surg 1981;194:35–41.
Sharp WV, Belden TA, King PH, Teague PC. Suture resistance to infection. Surgery 1982;91:61–3.
Blomstedt B, Osterberg B. Suture materials and wound infection. Acta Chir Scand 1978;144:269–74.
Giercksky K-E, Danielsen S, Garberg O, et al. A single dose tinidazole and doxycycline prophylaxis in elective surgery of the colon and rectum. Ann Surg 1982;195:227–31.
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Moesgaard, F., Larsen, P.N., Nielsen, M.L. et al. New approach to treatment of severe incisional abscesses following laparotomy. Dis Colon Rectum 26, 701–702 (1983). https://doi.org/10.1007/BF02554975
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DOI: https://doi.org/10.1007/BF02554975