RESUMEN
PURPOSE: Despite plenty of evidence that the healing of skin wounds is fostered by the use of skin tape and early suture removal, the technique has not been widely practiced. In order to investigate the combined technique of early suture removal using skin tape, we compared it with conventional suture removal. METHODS: We analyzed, retrospectively, 260 patients who underwent on appendectomy during 1999 to compare the two methods on the basis of age, sex, wound infection by class and incision type, cosmetic effect, and other suture site complication, including seroma, hematoma, dehiscence, and pain. RESULTS: Out of these 260 patients, 124 had conventional suture removal while 136 had early suture removal using skin tape. In the group of early suture removal using skin tape, there were a lower incidence of seroma, hematoma, and wound infection, a shorter period of postoperative wound pain, and superior cosmetic results and patient acceptability. CONCLUSION: We have found the combined technique to have advantages that produce a lower incidence of wound complication with a superior cosmetic result and an excellent patient acceptance.
Asunto(s)
Humanos , Adhesivos , Apendicectomía , Hematoma , Incidencia , Estudios Retrospectivos , Seroma , Piel , Cinta Quirúrgica , Suturas , Infección de Heridas , Heridas y LesionesRESUMEN
This article consists of a clinical analysis of 171 cases of intussusception treated at the Department of General Surgery and Pediatrics of Pusan Adventist Hospital, during a five year period from Jan. 1991 to Dec. 1995. The results were as follows ; 1) On the age and sex distribution, the age incidence under 1 year old was the most common(73.1%), and male to female ratio was 1.48 : 1. 2) The seasonal variation was Autumn(35.1%), Spring(32.1%), Summer(19.9%), and Winter(12.9%). 3) On the hematologic laboratory finding, 68% were revealed leukocytosis above 10,000/mm3 in serum. 4) In etiology, idiopathic type was common(98.5%), and Meckel's diverticulum was rare(1.5%). 5) The frequent Symptoms and signs were abdominal pain and irritability(84.2%), bloody stool(83.6%), vomiting(80.7%), palpable abdominal mass(48.5%). 6) On comparison of barium reduction to methods of the operation in relation to duration of symptoms, within 12 hours was 81.4% : 15.7% and above 24 hours was 49% : 51% 7) The common anatomical type of intussusception was ileo-colic type (36.9%), and the common types of bowel resection were ileoileo type and ileoileocolic type(80%). 8) The methods of the operation were manual reduction(53.8%), bowel resection(30.8%), and spontaneous reduction(15.4%). 9) Postoperative complications occurred in 10 cases ; febrile convulsion 3 cases, wound infection 2 cases, and wound dehiscence, intestinal obstruction, pulmonary complication each 1 case. 10) The overall recurrence rate was 5.3% (8 cases); 6.6% (7 cases) were after barium reduction, and 1.5% (1 case) was after manual reduction.
Asunto(s)
Niño , Femenino , Humanos , Lactante , Masculino , Dolor Abdominal , Bario , Incidencia , Obstrucción Intestinal , Intususcepción , Leucocitosis , Divertículo Ileal , Pediatría , Complicaciones Posoperatorias , Recurrencia , Estaciones del Año , Convulsiones , Convulsiones Febriles , Distribución por Sexo , Infección de Heridas , Heridas y LesionesRESUMEN
This article consists of a clinical analysis of 221 cases of the Pediatric Inguinal Hernia treated in General Surgery of Pusan Adventist Hospital, from January 1990 to June 1996. The results were as follows ; 1) Patients with inguinal hernia were 37.5% of total operative patients in the division of pediatric surgery 2) Males predominated over females by the ratio of 5.5:1 3) Of 221 cases, 101(54%) were on the Rt side, 80(43.1%) on the Lt side and the remainder (6.4%) on both side in case of Male. 20(58.8%) were on the Rt side, 13(38.2%) on the Lt sid and the remainder (3.0%) on both side in case of Female. 4) The chief Complaints were inguinal protrusion in 131 cases(59.3%) and scrotal enlargement in 77 cases(34.9%) 5) Peak incidence age (32 Months) & Duration of history (20.2 Months) 6) Associated diseases were found in 10 cases(4.9%) and they were cryptorchidism (1.47%), hydroclele (0.98%), Umbilical hermia (0.49%), Heart anomaly (0.49%), cleft palate (0.49%), Teratoma (0.49%), and Jejunal atresia (0.49%). Family History was denied. 7) All were indirect hernia. 8) Incarcerated cases were 6(2.7%) and the ratio of male to female was 2:1, and the location of incarcerated hernia was Rt (66.6%), and Lt (33.3%) 9) There were 70 cases of strangulation. 10) Intraperitoneal organ in hernial sac was noted in 5 cases (2.26%), and they were ovary and fallopian tube in 3 cases (1.35%), small intestine in 1 case (0.45%), cecum and appendix in 1 case (0.45%). 11) 215 (97%) of all hernia were repaired only by highligation of sac and 6(3%) were inforced with Bassini's posterior wall repair. 12) Mean postoperative hospitalization were 5.2 days. 13) Postoperative complications occured in only 2 cases : hematoma and edema 1, wound infection 1.