Scientific paperStudies in the management of the contaminated wound: VII. Susceptibility of surgical wounds to postoperative surface contamination☆
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Studies in the management of the contaminated wound. I. Techniques of closure of such wounds together with a note on a reproducible experimental model
J Surg Res
(1968) Surgery
Complications of the wounding
Cited by (38)
Abdominal skin closure using subcuticular sutures prevents incisional surgical site infection in hepatopancreatobiliary surgery
2018, Surgery (United States)Citation Excerpt :Because tissue blood supply is generally considered to be important to prevent wound infection and promote wound healing, Zografos et al.26 surmised that the wound healing process might start sooner in patients with subcuticular sutures than in those with clips. Subcuticular sutures also do not directly damage the skin surface or create an overt entrance for foreign bodies or bacteria into subcutaneous tissue, they do not require postoperative suture removal, and they enhance wound aesthetics.27–30 In gastrointestinal surgeries that are classified as clean-contaminated surgeries, several studies compared the incidence of wound complications after subcuticular sutures versus stapling.
Evidence-Based Medicine in Facial Trauma
2017, Facial Plastic Surgery Clinics of North AmericaCitation Excerpt :Although generally safe, topical antibiotics are associated with variable rates of contact dermatitis, up to 10% for neomycin68 and 9.2% for bacitracin.16 Schauerhamer and colleagues69 inoculated guinea pig wounds, finding that infection occurred only when wounds were exposed within the first 48 hours postoperatively, suggesting that the epithelial barrier is restored after this period. These results suggest that topical antibiotics may not be useful after 48 hours; however, the results of this study are not necessarily translatable to humans, especially if the wound is cleanly cared for in the postoperative period.
Revolutionary Advances in the Management of Traumatic Wounds in the Emergency Department During the Last 40 Years: Part II
2010, Journal of Emergency MedicineCitation Excerpt :As long as its outer surface remains dry, however, a dressing will remain an effective barrier to bacterial contamination. The length of time that dry dressing should cover the closed wound is based on knowledge of the period during which the wound is susceptible to bacterial penetration (15). As sutured wounds heal, they become increasingly resistant to the development of infection from surface contamination.
In Memoriam: A Tribute to Dr. Owen H. Wangensteen, the Greatest Teacher of Surgery During the 20th Century (1898-1981)
2007, Journal of Surgical ResearchCitation Excerpt :The development of a program for the history of medicine at the University of Minnesota did not occupy all of Dr. Wangensteen’s time following his retirement as Chairman of the Department of Surgery. His interests in the management of infected wounds in collaborative studies with me resulted in a series of landmark contributions addressing revolutionary advances in would repair [7–15]. In our studies of the biology of wound repair and infection, Dr. Wangensteen and I designed the first adhesive skin closure tape that could approximate the wound edges without the use of sutures.
Reinforcement of subcuticular continuous suture closure with surgical adhesive strips and gum mastic: Is there any additional strength provided?
2005, American Journal of SurgeryCitation Excerpt :Surgical tapes have also been shown to inhibit bacterial translocation, decreasing the likelihood of a wound infection. This is directly related to the structural properties of the tape [10–12]. However, this positive effect seems to be neutralized when adhesive chemicals are used to increase the adhesiveness of the tapes [13].
Management of lacerations in the emergency department
2003, Emergency Medicine Clinics of North America
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This work was supported by a grant from Headquarters, US Army Medical Research and Development Command, Office of the Surgeon General, Washington, DC 20315.
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From the Department of Surgery, University of Minnesota Medical Center, Minneapolis, Minnesota 55455.