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Analysis Of The Comparisons Between Two Different Sutural Lines And Infection Rate Of Abdominal Operative Incisions

Posted on:2011-02-18Degree:MasterType:Thesis
Country:ChinaCandidate:Y L SunFull Text:PDF
GTID:2154360332957122Subject:Public Health
Abstract/Summary:PDF Full Text Request
This study of the two sutures through the suture of the wound infection surveillance comparison of suture and the abdominal incision different infection. Group A chooses to use a non-absorbable suture (polyamide suture line) to suture the abdominal surgery. Group B chooses to use an absorbable suture (polydioanone suture, PDS) to suture the abdominal surgery. The experiment is basically the same operating room environment, surgical instruments, sterilization methods, anesthesia, surgical incision in the same way in the two groups. Group A was treated with polyamide suture closure of surgical incision, while group B was treated with polydioxanone(PDS) suture closure of surgical incision. A medical suture for wound healing, tissue ligation, and tissue fixation of the sterile line, the initial wound healing has a very important role, the ideal suture should not be brought to the healing of injured tissue to sag, rip, blood clots and bacterial adhesion, and can meet the following conditions: high strength and suture retention and tissue healing simultaneously, has good flexibility, elasticity, operational, and maintenance of nodal knot; should also have the extension of certain tissue edema and adaptation characteristics of the wound, and make restitution after wound healing; cross-sectional diameter of the smallest possible to minimize tissue reaction; meet the needs of the skin and speed up wound healing; non-toxic, easy to disinfect sterilized. In addition, non-absorbable suture, wound healing requires pumping line, as far as possible without tension; absorbable suture to have a certain organizational adaptability, the wound healed quickly absorbed by the body. Mainly from the suture line of the development, classification and application of spinning method, and other aspects of post-processing, analysis can focus on non-absorbable suture absorption and the performance characteristics and application.Polyamide sutures and polydioxanone (PDS) suture line quality comparison. This study shows that: Polyamide suture line and polydioxanone (PDS) suture samples were qualified, passing rates were 99.92%, 99.92%. Incision healing time <7 days, A, B Comparison of two different surgical wound infection rate. Surgical wound healing time in 7 ~ 14days, A Group incision infection rate higher than the rate of B Group incision infection, surgical wound healing time> 14 days, A group of incision infection rate higher than the B group.I type incision (clean cut) a total of 23cases of infection, wound infection rate (0.82%, 0.35%). Ministry of Health provides beds> 500, I kind wound infection rate <0.5%. Class II incision (clean contaminated wound) infection were 66cases of wound infection rates (1.65%, 0.79%), Jilin Province, hospital quality control center to be lower than the January 2006 statistics, results of wound infection (1.7%). Class III wound infection in 16 cases, infection rates (4.17%, 3.72%), lower than the hospital quality control center in Jilin Province in January 2006 the results of wound infection (5.2%). Can be concluded from these data, patients classified by different types of incision, wound infection rate according to I, II, III class has increased gradually cut different types of trend is the use of polyamide suture surgery incision infection rates of 0.73% , 1.57%, 4.91%, the use of polydioxanone (PDS) sutures for surgery incision infection rates of 0.22%, 0.74%, 3.23%. Infection rate of using non-absorbable sutures (polyamide suture line) in I, II type is higher than of using absorbable sutures (polydioxanone suture,PDS) in I, II class of wound infection.
Keywords/Search Tags:Sutural lines, Abdominal Operation, Incisions
PDF Full Text Request
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