[Comparative analysis of laparotomy closure techniques].

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  • Additional Information
    • Transliterated Title:
      Sravnitel'nyĭ analiz sposobov ushivaniia laparotomnoĭ rany.
    • Source:
      Publisher: Media Sfera Country of Publication: Russia (Federation) NLM ID: 0412765 Publication Model: Print Cited Medium: Print ISSN: 0023-1207 (Print) Linking ISSN: 00231207 NLM ISO Abbreviation: Khirurgiia (Mosk) Subsets: MEDLINE
    • Publication Information:
      Publication: <2003->: Moskva : Media Sfera
      Original Publication: Moskva, Meditsina [etc.]
    • Subject Terms:
      Surgical Wound Dehiscence*/pathology ; Surgical Wound Dehiscence*/prevention & control ; Suture Techniques*/adverse effects ; Suture Techniques*/classification; Hernia, Ventral/*prevention & control ; Laparotomy/*adverse effects; Abdominal Wall/pathology ; Abdominal Wall/surgery ; Animals ; Disease Models, Animal ; Granulation Tissue/pathology ; Hernia, Ventral/etiology ; Laparotomy/methods ; Rats ; Wound Closure Techniques
    • Abstract:
      Aim: To assess experimentally different laparotomy closure techniques.
      Material and Methods: Experimental research on laboratory animals was performed. Laboratory animals underwent laparotomy followed by aponeurosis suturing by using of interrupted, continuous suture and continuous suture with an arrangement of stitches at different levels. Tensometric and histological examination of tissue specimens together with sutures was made in 7, 14, 60 days after surgery.
      Results: Correlation of laparotomy closure technique with values of durability, elasticity and wound process course was obtained.
      Conclusion: Continuous suture after laparotomy promotes the formation of more mature granulation tissue and more solid scar with low elasticity compared with interrupted sutures.
    • Contributed Indexing:
      Keywords: aponeurosis closure; laparotomy; postoperative ventral hernia
      Local Abstract: [Publisher, Russian] Цель исследования - оценка способов ушивания апоневроза после лапаротомии в эксперименте. Материал и методы. Проведено экспериментальное исследование на лабораторных животных. Всем выполняли лапаротомию, ушивание апоневроза отдельным, непрерывным швом и непрерывным швом с расположением стежков на разном уровне. На 7, 14, 60-е сутки проводили тензиометрическое исследование участков ткани вместе со швами с последующим гистологическим исследованием. Результаты. Отмечена взаимосвязь способа ушивания апоневроза и показателей прочности, эластичности, течения раневого процесса. Вывод. Ушивание лапаротомной раны непрерывным швом по сравнению с отдельным способствует образованию более зрелой грануляционной ткани и формированию в дальнейшем более прочного рубца с низким показателем эластичности.
    • Publication Date:
      Date Created: 20170623 Date Completed: 20170927 Latest Revision: 20181023
    • Publication Date:
      20221213
    • Accession Number:
      10.17116/hirurgia2017637-40
    • Accession Number:
      28638012