ABSTRACT
A randomized study of abdominal fascial closure using interrupted polyglyconate and polyglycolic acid sutures after laparotomy was carried out in 204 consecutive patients with suspected impaired wound healing. There were no statistically significant differences between the two sutures with regard to the development of fascial disruption and incisional hernia. Wound infection demanding surgical intervention was found in 7 per cent of patients with polyglyconate sutures and in 16 per cent of those with polyglycolic acid sutures (P = 0.04). Monofilament polyglyconate suture does not reduce the incidence of fascial disruption and incisional hernia after laparotomy in patients with suspected impaired wound healing but the incidence of wound infection may be reduced compared with that of multifilament polyglycolic acid suture.
Subject(s)
Polyglycolic Acid , Polymers , Sutures , Wound Healing , Abdominal Muscles/surgery , Aged , Female , Hernia, Ventral/etiology , Humans , Laparotomy , Male , Reoperation , Surgical Wound Infection/etiologyABSTRACT
Implantation of carcinoma cells has been described as a complication to open bladder resection. We present three cases in which tumor cell implantation has occurred after transurethral resection using suprapubic trocar.
Subject(s)
Abdominal Muscles , Cystectomy/adverse effects , Muscle Neoplasms , Neoplasm Seeding , Urinary Bladder Neoplasms/surgery , Abdominal Muscles/pathology , Aged , Cystectomy/instrumentation , Cystectomy/methods , Female , Humans , Male , Muscle Neoplasms/pathology , Muscle Neoplasms/therapy , Surgical Instruments/adverse effects , Urinary Bladder Neoplasms/pathologyABSTRACT
OBJECTIVE: To investigate the effect of clean intermittent catheterization (CIC) on prevention of urethral stricture recurrence after internal urethrotomy. PATIENTS AND METHODS: Of 55 men who were randomly selected, 43 completed the investigation. Of these, 21 patients performed CIC weekly for 1 year following Sachse's operation for urethral stricture and 22 patients formed the control group after the same operation. All had an objective examination for urethral stricture every 2 months after surgery. RESULTS: Significantly fewer (P < 0.01) patients developed recurrence of urethral stricture within the first postoperative year in the CIC group (n = 4) compared with the control group (n = 15). No CIC complications were seen, and patients who completed the CIC programme considered the method fully acceptable. CONCLUSION: Weekly CIC is a simple method of reducing the frequency of urethral stricture recurrence after internal urethrotomy.
