Synthetic graft placement in the treatment of fascial dehiscence with necrosis and infection

Article Abstract:

Synthetic grafts can be used to treat fascial dehiscence even when the tissue is infected. Fascial dehiscence occurs when the abdominal wall is damaged during surgery and layers of tissue separate from each other. In a study of 52 women with fascial dehiscence, so much tissue had to be removed from the abdominal wall of 18 women that synthetic grafts had to be used to close the layers. The technique was successful even though many of the women had tissue infections, including four with necrotizing fasciitis.

Graft copolymers

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Medically sound, cost-effective treatment for pelvic inflammatory disease and tuboovarian abscess

Article Abstract:

The antibiotics cefotetan and doxycycline appear to be the most cost-effective treatment for pelvic inflammatory disease. This was the conclusion of a study of 179 patients with pelvic inflammatory disease. Although the two antibiotics were effective in this condition, clindamycin, gentamicin and ampicillin were more effective in the 74 women pelvic inflammatory disease complicated by tubo-ovarian abscess.

Antibiotics, Drug therapy, Pelvic inflammatory disease

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The legendary superior strength of the Pfannenstiel incision: a myth?

Article Abstract:

The Pfannenstiel incision does not appear to be any stronger than vertical incisions, according to a study of 48 patients. Infection seemed to be the biggest risk factor for failure of the surgical incision to heal properly. Otherwise the failure rate was similar in both groups of patients.

Health aspects, Research, Surgical wound infections, Abdomen, Laparotomy

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