One-Layer Closure of the Abdominal Wall

作者: Constantine P. Karakousis

DOI: 10.1007/978-1-4939-1634-4_22

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摘要: In debilitated patients with low preoperative albumin and long abdominal incisions, retention sutures are often advisable, but surgeons generally avoid them because in order to bring the fascia together, they have tie tightly. The postoperative result can be ulceration of skin pressure necrosis, infection a painful wound. Retention midline incisions must tied tightly protrudes more medially than underlying fascia, which tends retract away from line closure. Therefore, when placed through-and-through manner, edges come together first each suture tightened further for together.

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