Factors involving wound dehiscence; study of one thousand cases.
Factors involving wound dehiscence; study of one thousand cases.
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涉及伤口裂开的因素；
DOI：
10.1001/jama.1954.03690320001001
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发表时间：
1954
影响因子：
--
通讯作者：
G. A. Stevens
中科院分区：
文献类型：
--
作者：
R. Marsh;J. W. Coxe;W. L. Ross;G. A. Stevens
在这项研究中，裂裂被定义为包括腹膜在内的伤口分离。目的是比较用标准化方法封闭的垂直和横向腹部伤口的裂开率。通过尝试标准化伤口闭合技术和索引每个病例的穿孔卡片细节，我们希望在确定切口类型和/或闭合方法是否是裂开发生的主要因素时消除其他变异。似乎合乎逻辑的是，除非采用相同的方法关闭切口，并且所考虑的患者具有可比性，否则无法准确评估横向切口与垂直切口的比较。外科文献包含大量的病例回顾，如果有的话，其中大部分都不能通过使用可比类型的病例和标准的闭合程序来控制。本系列中收集的数据中至少有一半提供了这种受控案例研究所需的数据
In this study dehiscence is defined as a wound separation including the peritoneum. The purpose is to compare dehiscence rates in vertical versus transverse abdominal wounds closed by a standardized method. By attempting to standardize wound closure technique and by indexing on punch cards details of each case, we hoped to eliminate other variants in determining whether the type of incision and/or method of closure are the major factors in the incidence of dehiscence. It seems logical that no comparison of transverse with vertical incisions could be accurately assessed unless incisions were closed by the same method and patients under consideration were comparable. Surgical literature contains numerous case reviews, most if any, of which are not thus controlled by using comparable types of cases and standard closure procedures. At least half of the data collected in this series provides what would be required for such a controlled case study, short