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Clinical experience of J ‐ VAC drain for skin closure in the laparotomy of obstetrics and gynecology
Author(s) -
Kajiwara Kazuhiro,
Kimura Eizo,
Nakano Makoto,
Takano Hirokuni,
Okamoto Aikou
Publication year - 2014
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.12312
Subject(s) - medicine , laparotomy , obstetrics and gynaecology , closure (psychology) , obstetrics , gynecology , surgery , pregnancy , genetics , biology , economics , market economy
Aim The frequency of wound dehiscence after abdominal surgery has been reported to be approximately 4–29%, and that of surgical site infections is said to be of about 20%. We examined the effectiveness of the subcutaneous J ‐ VAC drain ( JVD ) in the drainage of bleeding and exudates from surgical wounds. Material and Methods The study was conducted on 192 patients who underwent abdominal surgery from O ctober 2009 to F ebruary 2011, and in whom indwelling JVD were placed. During the study period, JVD (10‐Fr) were placed subcutaneously on the anterior surface of the fascia in all patients. We examined the frequency of surgical wound complications. Results A longitudinal incision was used in 101 patients, and a transverse abdominal incision was used in 91 patients. Subjects with a subcutaneous fat thickness of 2 cm or thicker accounted for 115 patients. Subcutaneous hematoma was present in three patients, but only two patients (1%) showed dehiscence that required treatment. Conclusions This study revealed that subcutaneous JVD is useful for the closure of surgical incisions in gynecology and obstetrics, and that there are no limitations to their applicability.