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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 27 - 34 (8page)
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초록· 키워드
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ObjectiveCesarean section is the most commonly performed obstetrical surgical procedure; however, there are no standardguidelines on appropriate skin closure techniques and materials. Only few comparative studies have been conductedon different skin closure techniques, and they have shown conflicting results. Therefore, we compared differentskin closure techniques during emergency cesarean section to identify the best technique with minimal woundcomplication rates. MethodsPatients were randomized into 3 groups (group A, n=100; group B, n=102; and group C, n=98). In group A, theskin was closed using staples; in group B, via the subcuticular technique using monocryl 3-0; and in group C, usingmattress suture nylon (2-0). The primary outcome was a composite of wound complications, including infection,seroma, gaping, and need for resuturing and antibiotic administration. The secondary outcome included closure time,pain perception, patient satisfaction, and cost. Analyses were performed in accordance with the intention-to-treatprinciple. ResultsThe composite wound complication rate in the entire cohort was 16.6% (n=50); the complication rate was significantlyhigher in group A than in the other groups. Infection was the most common wound complication observed in theentire study group (86%) and was significantly higher in group A than in groups B and C (P≤0.001). ConclusionThe use of staples for cesarean section skin closure is associated with an increased risk of wound complications andprolonged hospital stay postoperative visits.
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등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Del Valle GO / 1992 / Does closure of camper fascia reduce the incidence of postcesarean superficial wound disruption? / Obstet Gynecol 80:1013~1016
Naumann RW / 1995 / Subcutaneous tissue approximation in relation to wound disruption after cesarean delivery in obese women / Obstet Gynecol 85:412~416
Jenkins TR / 2003 / It’s time to challenge surgical dogma with evidence-based data / Am J Obstet Gynecol 189:423~427
Pearl ML / 2004 / Choosing abdominal incision and closure techniques : a review / J Reprod Med 49:662~670
Basha SL / 2010 / Randomized controlled trial of wound complication rates of subcuticular suture vs staples for skin closure at cesarean delivery / Am J Obstet Gynecol 203:285.e1~281
Naumann RW / 1995 / Subcutaneous tissue approximation in relation to wound disruption after cesarean delivery in obese women / Obstet Gynecol 85:412~416
Jenkins TR / 2003 / It’s time to challenge surgical dogma with evidence-based data / Am J Obstet Gynecol 189:423~427
Pearl ML / 2004 / Choosing abdominal incision and closure techniques : a review / J Reprod Med 49:662~670
Basha SL / 2010 / Randomized controlled trial of wound complication rates of subcuticular suture vs staples for skin closure at cesarean delivery / Am J Obstet Gynecol 203:285.e1~281
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