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Study on the Wound Cure after Laparoscopic Operation
Author(s) -
Kenji Kakisako,
Fumitaka Yoshizumi,
Kimio Yamaguchi,
Kazutoshi Kaketani
Publication year - 2004
Publication title -
wound repair and regeneration
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.847
H-Index - 109
eISSN - 1524-475X
pISSN - 1067-1927
DOI - 10.1111/j.1067-1927.2004.abstractaj.x
Subject(s) - umbilicus (mollusc) , medicine , surgery , stage (stratigraphy) , laparoscopy , wound infection , paleontology , biology
Aim: Regarding the recent change in the surgical technique of infraumbilical incision for laparoscope insertion from lateral incision to longitudinal incision to reach inside the umbilicus, we conducted this study to find the merits and demerits of change as well as to clarify the circumstance in which poor wound cure occurs after laparoscopic operation. Methods: Total 608 patients who underwent laparoscopic operations between February 2000 and July 2002 at this hospital were used as the subjects of this study. Accordingly, the comparison was made between the 343 cases in the early stage (lateral incision) and the 380 cases in the late stage (longitudinal incision). Results: Postoperative wound trouble occurred in 24 (3.9%) of the 608 cases. Infection occurred in the wound made by open laparoscopy in 5 patients. The trouble in the trocker insertion site itself was observed in 19 cases (3.1%). The infraumbilical wound trouble occurred in 10 cases in the early stage and 5 cases in late stage indicated, indicating lower trouble rate in the latter.