surgical wound dehiscence

Summary

Summary: Pathologic process consisting of a partial or complete disruption of the layers of a surgical wound.

Top Publications

  1. ncbi Mass closure technique: an experimental study on separation of wound edge
    Y Cengiz
    Department of Surgery, Sundsvall County Hospital, Sweden
    Eur J Surg 167:60-3. 2001
  2. ncbi Acute wound healing: the biology of acute wound failure
    Derek A DuBay
    Department of Surgery, University of Michigan, Ann Arbor, MI, USA
    Surg Clin North Am 83:463-81. 2003
  3. ncbi Clinical outcomes of noninfectious sternal dehiscence after median sternotomy
    Vanessa A Olbrecht
    Division of Cardiac Surgery, The Johns Hopkins Medical Institutions, Baltimore, Maryland 21287 4618, USA
    Ann Thorac Surg 82:902-7. 2006
  4. ncbi Postoperative mediastinitis in cardiac surgery - microbiology and pathogenesis
    B Gardlund
    Department of Infectious Diseases, Karolinska Hospital, Stockholm, Sweden
    Eur J Cardiothorac Surg 21:825-30. 2002
  5. ncbi Vaginal cuff dehiscence after different modes of hysterectomy
    Hye Chun Hur
    Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA, USA
    Obstet Gynecol 118:794-801. 2011
  6. ncbi Comparing wound complication rates following closure of hip wounds with metallic skin staples or subcuticular vicryl suture: a prospective randomised trial
    A A Shetty
    Department of Orthopaedics and Trauma, Kent and Sussex Hospital, Tunbridge Wells, Kent, United Kingdom
    J Orthop Surg (Hong Kong) 12:191-3. 2004
  7. ncbi Effect of stitch length on wound complications after closure of midline incisions: a randomized controlled trial
    Daniel Millbourn
    Department of Surgery, Sundsvall Hospital, Sundsvall, Sweden
    Arch Surg 144:1056-9. 2009
  8. ncbi The effect of autologous serum eye drops on the conjunctivalization over exposed porous polyethylene orbital implant (Medpor(®)) in the rabbit model
    Joo Hoon Kim
    Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea
    Orbit 30:83-7. 2011
  9. ncbi Rate of vaginal cuff separation following laparoscopic or robotic hysterectomy
    Alpa M Nick
    Department of Gynecologic Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA
    Gynecol Oncol 120:47-51. 2011
  10. ncbi Anastomotic leakage following anterior resection for rectal cancer
    I Kanellos
    4th Surgical Department, Aristotle University, Thessaloniki, Greece
    Tech Coloproctol 8:s79-81. 2004

Detail Information

Publications218 found, 100 shown here

  1. ncbi Mass closure technique: an experimental study on separation of wound edge
    Y Cengiz
    Department of Surgery, Sundsvall County Hospital, Sweden
    Eur J Surg 167:60-3. 2001
    ..This results from sutures compressing or cutting through subcuticular fat, muscle, and peritoneum enclosed in a mass stitch...
  2. ncbi Acute wound healing: the biology of acute wound failure
    Derek A DuBay
    Department of Surgery, University of Michigan, Ann Arbor, MI, USA
    Surg Clin North Am 83:463-81. 2003
    ..Successful acute wound healing occurs when a dynamic balance is met between the loads placed across a provisional matrix and the feedback and feed-forward responses of repair cells...
  3. ncbi Clinical outcomes of noninfectious sternal dehiscence after median sternotomy
    Vanessa A Olbrecht
    Division of Cardiac Surgery, The Johns Hopkins Medical Institutions, Baltimore, Maryland 21287 4618, USA
    Ann Thorac Surg 82:902-7. 2006
    ....
  4. ncbi Postoperative mediastinitis in cardiac surgery - microbiology and pathogenesis
    B Gardlund
    Department of Infectious Diseases, Karolinska Hospital, Stockholm, Sweden
    Eur J Cardiothorac Surg 21:825-30. 2002
    ..32%) of 9557 consecutive cardiac surgery procedures. The study was done to describe the variation in clinical characteristics and microbiological etiology in mediastinitis...
  5. ncbi Vaginal cuff dehiscence after different modes of hysterectomy
    Hye Chun Hur
    Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA, USA
    Obstet Gynecol 118:794-801. 2011
    ..To update the incidence of vaginal cuff dehiscence after different modes of hysterectomy and to describe surgical and patient characteristics of dehiscence complications...
  6. ncbi Comparing wound complication rates following closure of hip wounds with metallic skin staples or subcuticular vicryl suture: a prospective randomised trial
    A A Shetty
    Department of Orthopaedics and Trauma, Kent and Sussex Hospital, Tunbridge Wells, Kent, United Kingdom
    J Orthop Surg (Hong Kong) 12:191-3. 2004
    ..To compare 2 methods of wound closure-metallic staples or 3-0 undyed vicryl-according to postoperative wound complication rates...
  7. ncbi Effect of stitch length on wound complications after closure of midline incisions: a randomized controlled trial
    Daniel Millbourn
    Department of Surgery, Sundsvall Hospital, Sundsvall, Sweden
    Arch Surg 144:1056-9. 2009
    ..In midline incisions closed with a single-layer running suture, the rate of wound complications is lower when a suture length to wound length ratio of at least 4 is accomplished with a short stitch length rather than with a long one...
  8. ncbi The effect of autologous serum eye drops on the conjunctivalization over exposed porous polyethylene orbital implant (Medpor(®)) in the rabbit model
    Joo Hoon Kim
    Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea
    Orbit 30:83-7. 2011
    ..To assess the efficacy of autologous serum eye drops (AS) in enhancing conjunctivalization over a scleral patch graft on exposed porous polyethylene orbital implant (Medpor(®))...
  9. ncbi Rate of vaginal cuff separation following laparoscopic or robotic hysterectomy
    Alpa M Nick
    Department of Gynecologic Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA
    Gynecol Oncol 120:47-51. 2011
    ..The goal of our study was to determine the rate of vaginal cuff separation and associated risk factors in patients undergoing laparoscopic or robotic hysterectomy...
  10. ncbi Anastomotic leakage following anterior resection for rectal cancer
    I Kanellos
    4th Surgical Department, Aristotle University, Thessaloniki, Greece
    Tech Coloproctol 8:s79-81. 2004
    ..The aim of this study is to present the incidence of anastomotic leakage after anterior resection for rectal cancer and to demonstrate the therapeutic approach for the treatment of this complication...
  11. pmc Do absorbable sutures exacerbate presternal scarring?
    Suat Durkaya
    Department of Thoracic Surgery, Cumhuriyet University Hospital, Sivas, Turkey
    Tex Heart Inst J 32:544-8. 2005
    ..In the lower half of the sternotomy scar, increased tension and relative mobility of the skin over the xiphoid process lead to inferior cosmetic results, regardless of the suture material used...
  12. ncbi Prognostic models of abdominal wound dehiscence after laparotomy
    Clinton Webster
    VA Salt Lake City Health Care System University of Utah Health Sciences Center, Salt Lake City, Utah, USA
    J Surg Res 109:130-7. 2003
    ..Portions of the prospective, multi-institutional National Veterans Affairs Surgical Quality Improvement Program were used to develop and validate a perioperative risk index to predict abdominal wound dehiscence after laparotomy...
  13. ncbi Anastomotic leakage after curative anterior resection results in a higher prevalence of local recurrence
    S W Bell
    Department of Colorectal Surgery, The University of Sydney, Concord Hospital, Sydney, New South Wales 2139, Australia
    Br J Surg 90:1261-6. 2003
    ..The aim of this study was to determine whether leakage from a colorectal anastomosis following potentially curative anterior resection for rectal cancer is an independent risk factor for local recurrence...
  14. ncbi Vaginal cuff closure after minimally invasive hysterectomy: our experience and systematic review of the literature
    Stefano Uccella
    Department of Obstetrics and Gynecology, University of Insubria, Del Ponte Hospital, Varese, Italy
    Am J Obstet Gynecol 205:119.e1-12. 2011
    ..To determine the incidence of vaginal cuff dehiscence after minimally invasive hysterectomy, we reported our series of total laparoscopic hysterectomies with transvaginal colporraphy...
  15. ncbi Negative pressure dressing for radiation-associated wound dehiscence after posterolateral thoracotomy
    Willem N Welvaart
    Department of Surgery, 7F004, VU Medical Center, PO Box 7057, 1007 MB Amsterdam, The Netherlands
    Interact Cardiovasc Thorac Surg 8:558-9. 2009
    ..The presented case demonstrates that negative pressure dressing also manages the hydropneumothorax as a result of the dehiscence of the thoracic wall...
  16. ncbi Seroma following breast cancer surgery
    C J Pogson
    Breast Unit, Mayday University Hospital, London Road, Croydon CR7 7YE, UK
    Eur J Surg Oncol 29:711-7. 2003
    ..Seroma is a common problem following breast cancer surgery causing patient discomfort and prolongation of hospital stay...
  17. ncbi Seroma formation following breast cancer surgery
    Ernest A Gonzalez
    Department of Surgery, Texas Tech University Health Sciences Center, El Paso, Texas 79905, USA
    Breast J 9:385-8. 2003
    ..A seroma did not delay initiation of chemotherapy. No patient developed a capsule requiring excision. In our experience, a seroma is a "necessary evil;" it will occur unpredictably in a predictable number of patients...
  18. ncbi Incidence and patient characteristics of vaginal cuff dehiscence after different modes of hysterectomies
    Hye Chun Hur
    Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA
    J Minim Invasive Gynecol 14:311-7. 2007
    ....
  19. pmc Vaginal cuff dehiscence after robotic total laparoscopic hysterectomy
    Barbara L Robinson
    Department of Obstetrics and Gynecology, Pennsylvania Hospital, Philadelphia, 19107, USA
    Obstet Gynecol 114:369-71. 2009
    ..Vaginal cuff dehiscence with small bowel evisceration after hysterectomy is a rare event that may be occurring more frequently with the advent of robotic laparoscopic hysterectomies...
  20. ncbi Sternal reconstruction with titanium plates in complicated sternal dehiscence
    Bernhard Voss
    Department of Cardiovascular Surgery, German Heart Center Munich, Clinic at the Technical University, Munich, Germany
    Eur J Cardiothorac Surg 34:139-45. 2008
    ..Sternal dehiscence after median sternotomy can be a challenging problem in case of multiple fractures or infection. The use of titanium plates is a promising approach for sternal reconstruction...
  21. ncbi Incidence and characteristics of patients with vaginal cuff dehiscence after robotic procedures
    Rosanne M Kho
    Department of Gynecologic Surgery, Mayo Clinic, Scottsdale, Arizona 85054, USA
    Obstet Gynecol 114:231-5. 2009
    ..To estimate the incidence and characteristics of patients with vaginal cuff dehiscence after robotic cuff closure...
  22. ncbi Anastomotic leakage is associated with poor long-term outcome in patients after curative colorectal resection for malignancy
    Wai Lun Law
    Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Pokfulam Road, Hong Kong, SAR, China
    J Gastrointest Surg 11:8-15. 2007
    ..Efforts should be undertaken to avoid this complication to improve the long-term outcome...
  23. ncbi Meta-analysis of techniques for closure of midline abdominal incisions
    M van 't Riet
    Department of General Surgery, Erasmus University Medical Centre Rotterdam Dijkzigt, Rotterdam, The Netherlands
    Br J Surg 89:1350-6. 2002
    ..Various randomized studies have evaluated techniques of abdominal fascia closure but controversy remains, leaving surgeons uncertain about the optimal method of preventing incisional hernia...
  24. ncbi [Factors influencing the development of incisional hernia. A retrospective study of 2,983 laparotomy patients over a period of 10 years]
    J Hoer
    Chirurgische Universitätsklinik der RWTH Aachen, Pauwelsstrasse 30, 52074 Aachen
    Chirurg 73:474-80. 2002
    ..Incisional hernia formation is one of the most frequent complications in visceral surgery requiring reoperation. Risk factors for incisional hernia formation and preventive strategies are not clearly defined...
  25. ncbi Vacuum-assisted closure: a new method for wound control and treatment: clinical experience
    L C Argenta
    Department of Plastic and Reconstructive Surgery, Bowman Gray School of Medicine, Winston Salem, NC 27157 1075, USA
    Ann Plast Surg 38:563-76; discussion 577. 1997
    ..Vacuum-assisted closure is an extremely efficacious modality for treating chronic and difficult wounds...
  26. ncbi Complete dehiscence of the abdominal wound and incriminating factors
    T E Pavlidis
    Second Surgical Department of Medical Faculty of the Aristoteles University of Thessaloniki, G Gennimatas Hospital, Greece
    Eur J Surg 167:351-4; discussion 355. 2001
    ..The mortality and the possibility of dehiscence seem to correlate directly with the number of risk factors. CONCLUSION: Patients with these risk factors require more attention and special care to minimise the risk of its occurrence...
  27. ncbi A biomechanical comparison of three sternotomy closure techniques
    David J Cohen
    Cardiothoracic Surgery Service, Brooke Army Medical Center, US Army Institute of Surgical Research, Fort Sam Houston, Texas 78234 6200, USA
    Ann Thorac Surg 73:563-8. 2002
    ....
  28. ncbi Osteosynthetic thoracic stabilization after complete resection of the sternum
    Bernhard Voss
    Department of Cardiovascular Surgery, German Heart Center Munich, Clinic at the Technical University, Munich, Germany
    Eur J Cardiothorac Surg 32:391-3. 2007
    ..In this case report, we describe the successful thoracic stabilization by using transverse plate fixation, which resulted in perfect thoracic stabilization and immediate cessation of pain...
  29. ncbi Reinforced tension line suture closure after midline laparotomy in emergency surgery
    Akhilesh Agarwal
    Trop Doct 41:193-6. 2011
    ..0009 which is highly significant. Closure of midline incision by RTL reduces the incidence of burst abdomen. Registration No. PROVCTRI/2008/091/000269 (http://www.ctri.in)...
  30. ncbi Inguinofemoral dissection for carcinoma of the vulva: effect of modifications of extent and technique on morbidity and survival
    Roman Rouzier
    Department of Surgery, Institute Gustave Roussy, Villejuif, France
    J Am Coll Surg 196:442-50. 2003
    ....
  31. ncbi Vaginal vault dehiscence after hysterectomy
    Mohammed Agdi
    Department of Obstetrics and Gynecology, McGill University, Montreal, Quebec, Canada
    J Minim Invasive Gynecol 16:313-7. 2009
    ..The purpose of our study was to evaluate factors predisposing vault dehiscence after hysterectomy and its manifestation...
  32. ncbi Comparison of interrupted versus continuous closure in abdominal wound repair: a meta-analysis of 23 trials
    Himanshu Gupta
    Department of Surgery, All India Institute of Medical Sciences, Ansari Nagar, India
    Asian J Surg 31:104-14. 2008
    ..The objective of this study was to perform a meta-analysis to estimate the pooled odds ratio (OR) for dehiscence and incisional hernia in the interrupted technique of laparotomy wound closure as compared to the continuous technique...
  33. ncbi Rigid fixation of the sternum using a new coupled titanium transverse plate fixation system
    Geoffrey G Hallock
    Division of Plastic Surgery, The Lehigh Valley Hospitals, Allentown, Pennsylvania 18103, USA
    Ann Plast Surg 58:640-4. 2007
    ..One patient had delayed removal of an infected plate after sternal union was achieved...
  34. ncbi Postoperative abdominal evisceration in children: possible risk factors
    Murat Kemal Cigdem
    Department of Pediatric Surgery, Dicle University Medical Faculty, 21280 Diyarbakir, Turkey
    Pediatr Surg Int 22:677-80. 2006
    ..5%) died. As a result, the age (neonates), primary surgery (colo-rectal), type of incision (median), and emergency surgery were significant risk factors for development of abdominal evisceration in children...
  35. ncbi Risk factors and oncologic impact of anastomotic leakage after rectal cancer surgery
    Sang Hun Jung
    Colorectal Clinic, Department of Surgery, University of Ulsan College of Medicine, and Asan Medical Center, Seoul, Korea
    Dis Colon Rectum 51:902-8. 2008
    ..The impact of anastomotic leakage on the long-term oncologic outcome is not clear. This retrospective study evaluated risk factors and oncologic impacts of anastomotic leakage after rectal cancer surgery...
  36. ncbi Endoscopic vacuum-assisted closure of anastomotic leakage following anterior resection of the rectum: a new method
    Rolf Weidenhagen
    Department of Surgery, Klinikum Grosshadern, Ludwig Maximilian University of Munich, Marchioninistr, 15, D 81377, Munich, Germany
    Surg Endosc 22:1818-25. 2008
    ..This report describes a new method of endoscopic management of large anastomotic leakage in these patients...
  37. ncbi Influence of abdominal-wound closure technique on complications after surgery: a randomised study
    A H Niggebrugge
    Department of Surgery, Bronovo Hospital, The Hague, Netherlands
    Lancet 353:1563-7. 1999
    ..A new continuous double-loop closure (CDLC) technique was developed to avoid wound rupture through resistance to high intra-abdominal pressure and continued approximation of wound edges. We investigated the efficacy of this technique...
  38. ncbi Frequency and risk factors for wound dehiscence/burst abdomen in midline laparotomies
    S H Waqar
    Department of General Surgery, Pakistan Institute of Medical Sciences, Islamabad
    J Ayub Med Coll Abbottabad 17:70-3. 2005
    ..The aim of the study was to determine the frequency of wound dehiscence/burst abdomen in patients undergoing emergency and elective laparotomies through midline incisions and to identify the risk factors for wound dehiscence...
  39. ncbi Traumatic late flap dehiscence and Enterobacter keratitis following LASIK
    Leanne M Cheung
    Department of Ophthalmology, Prince of Wales Hospital, Randwick, Australia
    J Refract Surg 22:402-4. 2006
    ..To report a case of traumatic flap dehiscence and Enterobacter keratitis 34 months after LASIK...
  40. ncbi Computed tomography of the sternum and mediastinum after median sternotomy
    C Y Bitkover
    Department of Thoracic Surgery, Karolinska Hospital, Stockholm, Sweden
    Ann Thorac Surg 68:858-63. 1999
    ..Computed tomography was evaluated for its ability to diagnose mediastinitis and sternal dehiscence, and a reference material of normally healing median sternotomies was created...
  41. ncbi Small tissue bites and wound strength: an experimental study
    Y Cengiz
    Department of Surgery, Sundsvall County Hospital, SE 85186 Sundsvall, Sweden
    Arch Surg 136:272-5. 2001
    ..Placing stitches close to the cut wound edge does not produce low wound bursting strength in midline laparotomy incisions closed with a suture length:wound length ratio of 4...
  42. ncbi Advanced sternal closure to prevent dehiscence in obese patients
    Arndt H Kiessling
    Department of Cardiac Surgery, Klinikum Ludwigshafen, Ludwigshafen, Germany
    Ann Thorac Surg 80:1537-9. 2005
    ..The incidence of sternal refixation was 6 of 50 patients in the standard techniques group and 1 of 50 in the advanced sternal closure group during a follow-up period of 6 months...
  43. ncbi Primary closure of median sternotomy: a survey of all German surgical heart centers and a review of the literature concerning sternal closure technique
    C Schimmer
    Zentrum Operative Medizin, Klinik und Poliklinik für Herz, und Thoraxchirurgie der Universität Würzburg, Wurzburg, Germany
    Thorac Cardiovasc Surg 54:408-13. 2006
    ..Sternal instability and mediastinitis are rare but serious complications following cardiac surgery with median sternotomy...
  44. ncbi Transverse sternal plating in secondary sternal reconstruction
    Joseph Huh
    Division of Cardiothoracic Surgery, Michael E DeBakey Veterans Affairs Medical Center, Baylor College of Medicine, Houston, Texas 77030, USA
    J Thorac Cardiovasc Surg 136:1476-80. 2008
    ..Transverse rib-to-rib stabilization with titanium plates designed for sternal fixation is a recent option. We evaluated the clinical utility of the transverse plating system in a cardiothoracic practice...
  45. ncbi Multiple laparotomies are a predictor of fascial dehiscence in the setting of severe trauma
    Mamta Swaroop
    Department of Surgery, Section of Trauma, Washington Hospital Center, Washington, DC 20010, USA
    Am Surg 71:402-5. 2005
    ..Surgeons should leave the skin open in the setting of repeat trauma laparotomy, which will allow serial assessment of the integrity of the fascial closure...
  46. ncbi Laceration and partial dislocation of LASIK flaps 7 and 4 years postoperatively with 20/20 visual acuity after repair
    George J C Jin
    The Eye Institute of Utah, Salt Lake City, Utah 84107, USA
    J Refract Surg 22:904-5. 2006
    ..To report two cases of late ocular trauma resulting in laceration of corneal flaps 7 and 4 years (cases 1 and 2, respectively) after LASIK...
  47. ncbi Burst abdomen. Local synthesis of nucleic acids, glycosaminoglycans, proteins and collagen in wounds
    S Renvall
    The Department of Surgery, University of Turku, Finland
    Ann Chir Gynaecol 90:33-7. 2001
    ..The purpose of the present study was to analyze the synthesis and contents of DNA, RNA, proteins and collagen in fascial, subcutaneous and skin layers in burst abdomen...
  48. ncbi [Postoperative complete abdominal dehiscence: risk factors and clinical correlations]
    O Mazilu
    Clinica de Chirurgie de Urgenţă, Spitalul Clinic Municipal Timişoara
    Chirurgia (Bucur) 104:419-23. 2009
    ..The purpose of this study is to review our clinical experience with abdominal wound dehiscence in the Surgical Department of City Hospital Timisoara...
  49. ncbi Vaginal cuff dehiscence after hysterectomy in a woman with systemic lupus erythematosus: a case report
    Joyce Purakal
    Department of Obstetrics and Gynecology, Saint Joseph Mercy Hospital, Ann Arbor, Michigan, USA
    J Reprod Med 53:305-7. 2008
    ..Vaginal cuff dehiscence is an uncommon but serious complication of hysterectomy. It has not previously been described in the setting of systemic lupus erythematosus (SLE) and total laparoscopic hysterectomy (TLH)...
  50. ncbi Citric acid treatment of postoperative wound in an operated case of synovial sarcoma of the knee
    Basavraj S Nagoba
    Research and Development, MIMSR Medical College and YC Rural Hospital, Latur, Maharashtra, India
    Int Wound J 8:425-7. 2011
    ..Post surgical non healing wound not responding to conventional therapy was treated successfully with local application of 3% citric acid ointment for 25 days...
  51. ncbi Are wound complications after a kidney transplant more common with modern immunosuppression?
    A Humar
    Department of Surgery, University of Minnesota, MMC 195, 420 Delaware Street SE, Minneapolis, MN 55455, USA
    Transplantation 72:1920-3. 2001
    ..g., infections, hernias) in kidney recipients and to assess whether newer immunosuppressive drugs increase the risk for such complications...
  52. ncbi Abdominal incisions: techniques and postoperative complications
    J W A Burger
    Department of General Surgery, Erasmus Medical Center, P O Box 2040, 3000 CA Rotterdam, The Netherlands
    Scand J Surg 91:315-21. 2002
    ..Type of incision may however have its influence on the occurrence of postoperative wound complications. Techniques and features of various incisions are discussed, as well as the incidence of their postoperative complications...
  53. ncbi Impact of anastomotic leakage on oncological outcome after rectal cancer resection
    H Ptok
    Institute for Quality Control in Operative Medicine, Otto von Guericke University Magdeburg, Magdeburg, Germany
    Br J Surg 94:1548-54. 2007
    ..Its relevance to oncological outcome is controversial. This observational study investigated the influence of anastomotic leakage on oncological outcome...
  54. ncbi Measurement of non-physiological movement in sternal instability by ultrasound
    Doa El-Ansary
    Department of Physiotherapy, School of Health Sciences, University of Canberra, Canberra, Australia
    Ann Thorac Surg 83:1513-6. 2007
    ..Ultrasound equipment with associated software for calculating selected video-monitor distances provides one way of quantifying the extent of sternal separation...
  55. ncbi Aggressive treatment using muscle flaps or omentopexy in infections of the sternum and anterior mediastinum following sternotomy
    Alexandre Heitor Moreschi
    Porto Alegre Hospital de Clínicas, Porto Alegre, Brazil
    J Bras Pneumol 34:654-60. 2008
    ..To evaluate the impact of an aggressive treatment approach using muscle flaps or omentopexy in infections of the sternum and anterior mediastinum following sternotomy on mortality, as compared to that of a conservative treatment approach...
  56. ncbi Comparison of repair techniques for major incisional hernias
    Gregory A Dumanian
    Division of Plastic Surgery, Department of Surgery, Chicago, IL 60611, USA
    Am J Surg 185:61-5. 2003
    ..These procedures are diametrically opposed solutions to the same clinical problem...
  57. ncbi Morphology and healing resistance of abdominal wall after longitudinal and transversal laparotomy in rabbits
    M I Salgado
    Department of Surgery, Medical School of the Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
    Minerva Chir 63:37-43. 2008
    ..The abdominal wall continues to be a topic of investigation for the evaluation of its healing in terms of morphology and resistance. In the present investigation, transverse and longitudinal laparotomies were studied comparatively...
  58. ncbi Outcomes of immediate vertical rectus abdominis myocutaneous flap reconstruction for irradiated abdominoperineal resection defects
    Charles E Butler
    Department of Plastic Surgery, University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA
    J Am Coll Surg 206:694-703. 2008
    ..Many surgeons are reluctant to use VRAM flaps unless primary closure is not possible...
  59. ncbi [Single-layer colonic anastomoses using polyglyconate (Maxon) vs. two-layer anastomoses using chromic catgut and silk. Experimental study]
    Sandra Minerva García-Osogobio
    Departamento de Cirugia, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Tlalpan, Mexico, DF
    Rev Invest Clin 58:198-203. 2006
    ..A wide variety of methods have been described to reestablish intestinal continuity including single-layer continuous or two-layer interrupted anastomosis...
  60. ncbi DIEP flaps in women with abdominal scars: are complication rates affected?
    Brian M Parrett
    Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass 02215, USA
    Plast Reconstr Surg 121:1527-31. 2008
    ..The purpose of this study was to determine whether abdominal scars in DIEP breast reconstruction have an effect on flap and donor-site complications...
  61. ncbi Free tissue transfer: comparison of outcomes between university hospitals and community hospitals
    Jeffrey A Gusenoff
    Division of Plastic Surgery, University of Pennsylvania, Philadelphia, PA 19104, USA
    Plast Reconstr Surg 118:671-5. 2006
    ..This study reports the outcomes of two equal groups of free tissue transfer performed by the same surgeons, comparing the university versus the community hospital setting...
  62. ncbi In vitro bursting pressures of jejunal enterotomy closures in llamas
    Stacy A Semevolos
    Department of Clinical Sciences, College of Veterinary Medicine, Oregon State University, Corvallis, OR 97331, USA
    Vet Surg 36:64-7. 2007
    ..To evaluate closure strength (in vitro bursting pressure) of jejunal enterotomies in llamas...
  63. ncbi Invited commentary
    Julian E Losanoff
    Department of Surgery, MC 5026, Room J 517, University of Chicago, 5841 S Maryland Ave, Chicago, IL60637
    Ann Thorac Surg 82:907-8. 2006
  64. ncbi Soft tissue sarcoma resection volume associated with wound-healing complications
    David S Geller
    Orthopaedic Oncology Service, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY 10467, USA
    Clin Orthop Relat Res 459:182-5. 2007
    ..Mean volume of resected tissue in the group of patients treated with primary flap coverage was 1908 cm3, over twice as large as the mean volume of resected tissue in the group of patients treated with primary closure...
  65. ncbi Two-stage management of sternal wound infection using bilateral pectoralis major advancement flap
    Clement H K Wong
    Department of Cardiothoracic and Plastic Surgery, The Prince Charles Hospital, Rode Road, Chermside, Brisbane, Qld 4053, Australia
    Eur J Cardiothorac Surg 30:148-52. 2006
    ..To report our experience using two staged bilateral pectoralis major flap as the sole treatment modality for sternal wound infection...
  66. ncbi Anastomotic dehiscence after gastrectomy for cancer. Personal series
    Raffaele Lanteri
    Department of Surgical Sciences, Organ Transplantations and Advanced Technologies Catania University, Catania, Italy
    Hepatogastroenterology 54:617-9. 2007
    ..Nowadays the risk of anastomotic dehiscence after gastrectomy still exists. So the aim of this study was to analyze our experience regarding these anastomoses...
  67. ncbi Buttressing of the staple line in gastrointestinal anastomoses: overview of new technology designed to reduce perioperative complications
    L S F Yo
    Meander Medisch Centrum, Amersfoort, The Netherlands
    Dig Surg 23:283-91. 2006
    ..Recent developments have led to the introduction of staple line reinforcement to reduce these complications...
  68. ncbi Feasibility of flap reconstruction in conjunction with intraoperative radiation therapy for advanced and recurrent head and neck cancer
    Michael D Most
    Department of General Surgery, Division of Head and Neck Surgery, Beth Israel Medical Center, New York, NY, U S A
    Laryngoscope 118:69-74. 2008
    ..We review our experience with IORT in patients undergoing resection of head and neck cancer and flap reconstruction. Logistics of delivery and outcomes are discussed...
  69. ncbi Vascularized free fibular flap for the reconstruction of mandibular defects: clinical experience in 42 cases
    Raúl González-García
    Department of Oral and Maxillofacial Head and Neck Surgery, University Hospital Infanta Cristina, Badajoz, Spain
    Oral Surg Oral Med Oral Pathol Oral Radiol Endod 106:191-202. 2008
    ..The purpose of this study is to evaluate our experience with the use of the vascularized free fibular flap for the reconstruction of mandibular defects following surgical resection...
  70. ncbi Vacuum-assisted closure in the treatment of poststernotomy mediastinitis in the paediatric patient
    B Salazard
    Department of Paediatric Plastic Surgery, Timone Children s Hospital, 264 rue Saint Pierre, 13385 Marseille Cedex 05, France
    J Plast Reconstr Aesthet Surg 61:302-5. 2008
    ..Established treatment includes surgical debridement, drainage and irrigation, antibiotics, frequent change of wound dressing and direct or secondary closure with omentum or pectoral muscle flap...
  71. ncbi Components separation combined with abdominal wall plication for repair of large abdominal wall hernias following bariatric surgery
    Loren J Borud
    Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA
    Plast Reconstr Surg 119:1792-8. 2007
    ..Standard repair with synthetic mesh may be suboptimal, with a recurrence rate as high as 50 percent. Patients often seek hernia repair in conjunction with abdominal body contouring procedures following substantial weight loss...
  72. ncbi Sternal plating to prevent malunion of transverse sternotomy in lung transplantation
    Kimberly L Gandy
    Division of Cardiothoracic Surgery, University Medical Center, Tucson, Arizona, USA
    Ann Thorac Surg 86:1384-5. 2008
    ..The interlocking plate configuration also affords a unique quality to this closure; a pin securing the two plates can be quickly released allowing expedient access to mediastinal structures if emergent re-entry is necessary...
  73. ncbi An alternative reinforced closure technique with external Kirschner wires in sternal dehiscence
    Oguz Omay
    Institute of Cardiology, University of Istanbul, Istanbul, Turkey
    Heart Surg Forum 10:E193-5. 2007
    ..We present an alternative closure technique that is effective in length stabilization of the dehisced sternum, technically easy, and less time consuming...
  74. ncbi Corneal wound dehiscence after penetrating keratoplasty
    Sujata Das
    Royal Victorian Eye and Ear Hospital, East Melbourne, Victoria 3002, Australia
    Cornea 26:526-9. 2007
    ..To describe the clinical features of corneal wound dehiscence after penetrating keratoplasty (PK) after trauma and suture removal...
  75. ncbi The role of dura mater and free peritoneal graft in the reinforcement of colon anastomosis
    Ramazan Eryilmaz
    Department of Surgery, Vakif Gureba Training Hospital, Istanbul, Turkey
    J Invest Surg 20:15-21. 2007
    ....
  76. ncbi [Evaluation of colonic anastomoses performed in the last twenty-five years]
    Zoltan Papp
    Bugyi István Kórház, Sebészeti Osztály, Szentes
    Orv Hetil 148:117-20. 2007
    ..The authors scrutinize the results of elective large-bowel operations, comparing the healing of handsewn and stapled anastomoses. A brief history of large-bowel surgery is also presented...
  77. ncbi Clinical evaluation of hydrocolloid dressings for neurosurgical wounds
    Yasunori Fujimoto
    Department of Neurosurgery, Social Insurance Kinan Hospital, Tanabe, Wakayama 646 8588, Japan
    Surg Neurol 70:217-20; discussion 220. 2008
    ..Empirical methods in postoperative wound care have been performed by individual neurosurgeons. We evaluated a hydrocolloid dressing for neurosurgical wounds according to the modern concept of wound healing...
  78. ncbi Risk factors for wound complication in pilonidal sinus procedures
    Haitham Al-Khayat
    Department of Surgery, Saad Specialist Hospital, Al Khobar, Saudi Arabia
    J Am Coll Surg 205:439-44. 2007
    ..The aim of our study is to report our experience with Karydakis procedure and explore the risk factors associated with infection and poor healing in pilonidal operation...
  79. ncbi Evaluation of a novel technique for wound closure using a barbed suture
    Amy P Murtha
    Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, NC, USA
    Plast Reconstr Surg 117:1769-80. 2006
    ..A barbed suture was developed that is self-anchoring, requiring no knots or slack management for wound closure. The elimination of knot tying may have advantages over conventional wound closure methods...
  80. ncbi Management of the corneal flap in laser in situ keratomileusis after previous radial keratotomy
    M S Chung
    Pepose Vision Institute, Chesterfield, Missouri 63107, USA
    Am J Ophthalmol 132:252-3. 2001
    ....
  81. ncbi Primary sternal plating in high-risk patients prevents mediastinitis
    David H Song
    Department of Surgery, Sections of Plastic and Reconstructive Surgery, University of Chicago, MC 5040, 5841 South Maryland Ave, Chicago, IL 60637, USA
    Eur J Cardiothorac Surg 26:367-72. 2004
    ..Application of rigid plate fixation for sternal osteotomies affords greater stability of the sternum. We report on our preliminary experience with this technique in high-risk patients...
  82. ncbi [Management with v.a.C. in phlegmonous tissue defects of the abdominal wall after abdominoplasty]
    C Ottomann
    Zentrum für Schwerbrandverletzte mit Plastischer Chirurgie, Unfallkrankenhaus Berlin
    Zentralbl Chir 129:S85-8. 2004
    ..Management of these progessive infections involves multiple step surgery. V.A.C.-therapy could be an alternative to open wound treatment...
  83. ncbi [Early treatment of sternal wound infections with vacuum assisted closure therapy reduces involvement of the mediastinum and further diminishes the need of plastic reconstructive surgery]
    T Fleck
    Abt für Herz Thoraxchirugie, AKH Wien
    Zentralbl Chir 129:S35-7. 2004
  84. ncbi [V.a.C.-therapy in abdominal surgery - experiences, limits and indications]
    M Rexer
    Klinikum Fürth, Chirurgische Klinik 1, Fürth
    Zentralbl Chir 129:S27-32. 2004
    ..Compared to other surgical disciplines the significance of V.A.C.-therapy is rarely noticed in abdominal surgery. This may be due to uncertainty in defining clear indications or lack of technical know-how...
  85. ncbi [Fascial healing and wound failure]
    V Fackeldey
    Chirurgische Universitäts und Poliklinik, RWTH Aachen
    Chirurg 75:477-83. 2004
    ..New aspects of pharmacotherapy and better understanding of collagen synthesis and dynamics of closure tension might improve the clinical situation in the future...
  86. ncbi Sustained local application of low-dose epidermal growth factor on steroid-inhibited colonic wound healing
    A Ebru Sakallioglu
    Department of Pediatric Surgery, Baskent University, Faculty of Medicine, Bahcelievler, Ankara, Turkey
    J Pediatr Surg 39:591-5. 2004
    ..The effects of locally administered low-dose epidermal growth factor in a steroid-inhibited wound healing were investigated in a rat model...
  87. ncbi [Possible interventions in impaired wound healing]
    S Coerper
    Klinik für Allgemeine Chirurgie, Chirurgische Universitätsklinik Tübingen
    Chirurg 75:471-6. 2004
    ..After appropriate wound bed preparation, wounds can be closed by plastic surgery or wound stimulation through various agents (i.e. protease inhibitors, growth factors, or tissue engineering)...
  88. ncbi Interlocking sternotomy: initial experience
    Raja Joshi
    Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, Ansari Negar, New Delhi, India
    Asian Cardiovasc Thorac Ann 12:16-8. 2004
    ..Use of this safe, simple, and reproducible technique is strongly recommended, especially in diabetics...
  89. pmc Laparoscopic harvest of omental flaps for reconstruction of complex mediastinal wounds
    Jihad R Salameh
    Baylor College of Medicine, Houston, Texas, USA
    JSLS 7:317-22. 2003
    ..Omental harvest for complex poststernotomy mediastinal wounds has traditionally required a formal laparotomy in often high-risk patients, thus making it the procedure of last resort...
  90. ncbi Prospective comparison of methods of closure of the coronal flap after craniofacial surgery in children
    A J Sidebottom
    Consultant Maxillofacial Surgeon, Maxillofacial Unit, Queens Medical Centre, Nottingham, UK
    Br J Oral Maxillofac Surg 41:309-11. 2003
    ..Rapidly-absorbed polyglactin is a safe alternative to clips for wound closure after craniofacial surgery in children and the morbidity is less because fewer patients have to return to theatre than closure with surgical clips...
  91. ncbi A modified bronchial anastomosis technique for lung transplantation
    Carsten Schröder
    Department of Cardiac and Thoracic Surgery, Vanderbilt University, Nashville, Tennessee, USA
    Ann Thorac Surg 75:1697-704. 2003
    ..We hypothesized that a modification of the telescoping technique that improves bronchial wall apposition might be associated with improved bronchial healing and clinical outcomes...
  92. ncbi Muscle flap salvage of spine wounds with soft tissue defects or infection
    Gregory A Dumanian
    Division of Plastic Surgery, Department of Neurosurgery, Northwestern Memorial Hospital, Chicago, Illinois, USA
    Spine (Phila Pa 1976) 28:1203-11. 2003
    ..This retrospective study was designed to analyze the results of 22 patients treated for postoperative soft tissue defects of the spine...
  93. ncbi [Wounds, wound healing, chronic wounds (part 1)]
    J Tautenhahn
    Klinik fUr Allgemein, Medizinische Fakultät der Otto van Guericke Universität Madgeburg
    Zentralbl Chir 128:W2-7. 2003
  94. ncbi Outcome and management of infected wounds after total hip arthroplasty
    Jeffrey A Gusenoff
    Division of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, 601 North Caroline Street, Baltimore, MD 21287, USA
    Ann Plast Surg 49:587-92. 2002
    ....
  95. ncbi [Closure of midline incisions. A lot of small, same-size stitches in the aponeurosis improve wound healing]
    Yucel Cengiz
    Kirurgkliniken, Sundsvalls sjukhus
    Lakartidningen 99:2742-4. 2002
    ..An adequate ratio should be achieved by placing many stitches into the aponeurosis. High tension on the suture should be avoided...
  96. ncbi Spontaneous wound dehiscence after removal of single continuous penetrating keratoplasty suture
    Edward S Abou-Jaoude
    Department of Ophthalmology, University of Kentucky College of Medicine, Lexington, KY 40536 0284, USA
    Ophthalmology 109:1291-6; discussion 1297. 2002
    ..To determine the incidence and complications of spontaneous wound dehiscence after removal of a single continuous penetrating keratoplasty (PK) suture...
  97. ncbi Outcomes for surgical coverage of pressure sores in nonambulatory, nonparaplegic, elderly patients
    Jeffrey A Gusenoff
    Division of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, 601 N Caroline Street, Baltimore, MD 21287, USA
    Ann Plast Surg 48:633-40. 2002
    ..With an increasing geriatric population, prevention and postoperative care are necessary to diminish the incidence, recurrence, and burden of pressure sores...
  98. ncbi An analysis of inadvertent perforations of mucosa and skin concurrent with mandibular reconstruction
    Eric R Carlson
    Department of Oral and Maxillofacial Surgery, University of Tennessee Graduate School of Medicine, Knoxville 37920, USA
    J Oral Maxillofac Surg 62:1103-7. 2004
    ..This article reports on the incidence and outcome of inadvertent perforations of mucosa and skin during the reconstruction of segmental defects of the mandible using cancellous cellular bone...
  99. ncbi A rational approach to sternal wound complications
    Thomas J Francel
    Division of Plastic Surgery, St Johns Mercy Medical Center Associate Clinical Professor of Surgery, St Louis University School of Medicine, St Louis, MO, USA
    Semin Thorac Cardiovasc Surg 16:81-91. 2004
    ..Follow-ups for all patients has been at least 2 years (range 2-11 years), and greater than 90% obtained a healed wound at 3 months. Of the patients treated with muscle flap reconstructions, 95% are alive and healed at a 2-year follow-up...
  100. ncbi [Vacuum-assisted closure (V.A.C.) of disastrous wound conditions in Madelung disease]
    M Leffler
    Abteilung für Plastische und Handchirurgie, Chirurgische Universitatsklinik, Universitätsklinikum Erlangen Nürnberg
    Zentralbl Chir 131:S15-8. 2006
    ..Dermatitis was seen in the axillary fold at the skin bearing surfaces. Shoulder movement was impaired. Liposuction of both upper arms has already been performed, but no significant improvement was obtained...
  101. ncbi Effect of temporary abdominal closure on colonic anastomosis and postoperative adhesions in experimental secondary peritonitis
    Cagatay Aydin
    Department of Surgery, Pamukkale University, School of Medicine, Kinikli, Denizli, 20070 Turkey
    World J Surg 30:612-9. 2006
    ..The effect of relaparotomies and temporary abdominal closure on colonic anastomoses and postoperative adhesions is under debate...

Research Grants7

  1. Vestibular Recovery after Intratympanic Gentamicin
    John Carey; Fiscal Year: 2004
    ..Furthermore, the mechanisms of vestibular recovery may help us understand the potential for the inner ear to recover from a variety of injuries. ..
  2. ATR in Human Cancer and Anticancer Therapy
    William Cliby; Fiscal Year: 2004
    ..Using xenograft models we will develop a gene therapy model of ATR disruption to test the safety and efficacy of targeting ATR for anticancer therapy. ..
  3. VESTIBULAR EFFECTS OF INTRATYMPANIC GENTAMICIN
    John Carey; Fiscal Year: 2005
    ..Johns Hopkins is uniquely suited to this training because it has a core group devoted to vestibular research, and the mentor's laboratory has successfully used all of the techniques required. ..
  4. Regulation of Fibroblast Survival in the Collagen Matrix
    Mark Carlson; Fiscal Year: 2005
    ..Loss of matrix anchorage is hypothesized to reverse these effects and induce apoptosis. The involvement of each protein will be probed with mutated isoforms. ..
  5. Transfer of the CD40 ligand gene to esophageal carcinoma
    Robert Korst; Fiscal Year: 2007
    ..This study will help determine if intratumoral administration of the AdCUCD40L vector is safe, and evokes sufficient DC-related host responses to warrant further studies in esophageal cancer. ..
  6. Function of Vestibular-Nerve Afferent Types
    Timothy Hullar; Fiscal Year: 2008
    ..Findings from this study will allow better understanding of pathologies of the peripheral vestibular system. ..
  7. Evalution of Vestibular Function in Meniere's Disease
    John Carey; Fiscal Year: 2009
    ..Comparisons of angular and translational VOR deficits after intratympanic gentamicin should demonstrate whether or not the utricle is less susceptible than the semicircular canals to intratympanic gentamicin. ..