Cited 0 times in

복부 수술창 열개에 대한 임상 통계학적 고찰

Title
복부 수술창 열개에 대한 임상 통계학적 고찰
Other Titles
Clinical observations of abdominal wound dehischence
Issue Date
1975
Publisher
연세대학교 대학원
Description
의학과/석사
Abstract
[한글] 복부 수술창 열개의 병인에 대한 광범위한 임상적인 실험적인 연구가 있었음에도 불구 하고 복부 수술창의 빈도는 역시 줄지 않고 있으며 외과의사나 환자에게 미치는 영향은 지대한 것이다. 많은 실험적인 연구의 결과 창상의 치유가 나빠지고 결국 수술창 열개가 일어날 수 있는 것은 영양상태가 불량하든지 빈혈, 혈중 단백질이 낮은 경우나 혹은 비타민 결핍증으로 올 수 있다고 알려져 있고 임상적인 연구에서도 복강내의 압력의 증가 등의 기계적인 요인과 혈종과 감염, 이물, 봉합재료, 수술창의 종류, 봉합 기술등의 극소적 인 요인 그리고 전신적인 요인 Uremia 대사성 질환 Cushing씨병 악성질환이나 기아등이 있겠다. CLINICAL OBSERVATIONS OF ABDOMINAL WOUND DEHISCENCE Cho Chon, M.D. Department of Medical Science, The Graduate School, Yonsei University (Directed by Professor Choon Kyu Kim, M.D. In spite of extensive laboratory and clinical studies have been devoted to clarify the pathogenesis of wound dehiscence, this serious complications still persists and make various problems to both surgeons and patients. Many laboratory studies have emphasized that poor wound healing and final wound dehiscence may be secondary to malnutrition, anemia, hypoproteinemia and/or vitamin deficiency, and clinical studies have suggested that local wound factors (hematoma, infection, foreign bodies, poor surgical technique, suture materials, and type of incision) and systemic factors (malnutrition, hypoproteinemia, anemia, vitamin deficiency, cuoghing from pulmonary disease, abodominal distention, debilitating diseases, steroid and advanced age) may play a role in wound dehiscence. The purpose of this paper is to review our experience of the patients with a abdominal wound dehiscence who were admitted and treated in Yonsei Medical Center during the period between 1967 and 1974, and to evaluated its possible causes and clinical patterns in Korea and to suggest proper management. There have been 47 complete wound disruptions in that period. The following results were obtained: 1. The incidence of abdominal wound dehiscence was 1.17%. 2. Preponderence in males (male to female 3.7 to 1) and age between 50 and 60. 3. The most common primary disease was cancer. 4. The common operations caused wound dehiscence were on the gastroduodenal, small and large intestine and exploratory laparotomy. 5. Wound dehiscence most commonly occured on postoperative 8th day. 6. The commonest incision in wound dehiscence was upper abdominal incision mainly right upper paramedian one, but the comparison between vertical and transverse incision was impossible in this series due to exclusive use of vertical incision. 7. Its common complication was wound infection. 8. The mortality rate was 23.5%.
[영문] In spite of extensive laboratory and clinical studies have been devoted to clarify the pathogenesis of wound dehiscence, this serious complications still persists and make various problems to both surgeons and patients. Many laboratory studies have emphasized that poor wound healing and final wound dehiscence may be secondary to malnutrition, anemia, hypoproteinemia and/or vitamin deficiency, and clinical studies have suggested that local wound factors (hematoma, infection, foreign bodies, poor surgical technique, suture materials, and type of incision) and systemic factors (malnutrition, hypoproteinemia, anemia, vitamin deficiency, cuoghing from pulmonary disease, abodominal distention, debilitating diseases, steroid and advanced age) may play a role in wound dehiscence. The purpose of this paper is to review our experience of the patients with a abdominal wound dehiscence who were admitted and treated in Yonsei Medical Center during the period between 1967 and 1974, and to evaluated its possible causes and clinical patterns in Korea and to suggest proper management. There have been 47 complete wound disruptions in that period. The following results were obtained: 1. The incidence of abdominal wound dehiscence was 1.17%. 2. Preponderence in males (male to female 3.7 to 1) and age between 50 and 60. 3. The most common primary disease was cancer. 4. The common operations caused wound dehiscence were on the gastroduodenal, small and large intestine and exploratory laparotomy. 5. Wound dehiscence most commonly occured on postoperative 8th day. 6. The commonest incision in wound dehiscence was upper abdominal incision mainly right upper paramedian one, but the comparison between vertical and transverse incision was impossible in this series due to exclusive use of vertical incision. 7. Its common complication was wound infection. 8. The mortality rate was 23.5%.
URI

http://ir.ymlib.yonsei.ac.kr/handle/22282913/117062
Appears in Collections:
2. 학위논문 > 1. College of Medicine (의과대학) > 석사
Yonsei Authors
사서에게 알리기
  feedback
Fulltext
교내이용자 서비스로 제공됩니다.
Export
RIS (EndNote)
XLS (Excel)
XML

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse