Abstract:Objective: to estimate the healing rate of complex surgical wounds and its associated
factors. Method: retrospective cohort study from 2003 to 2014 with 160 outpatients of a Brazilian
university hospital. Data were obtained through consultation of the medical
records. Survival function was estimated using the Kaplan-Meier method and Cox
regression model to estimate the likelihood of the occurrence of healing. Results: the complex surgical wound healing rate was 67.8% (95% CI: 60.8-74.9). Factors
associated wit… Show more
“…The variables related to the surgical wound consisted of topography (abdomen, breast) and type of surgical intervention. The variables chosen were treated in a previous study on complex surgical wounds, directed by the authors of this study 2 …”
Section: Methodsmentioning
confidence: 99%
“…And finally, third intention healing happens when the surgical wound is left open for a short period of time and the re-approximation of the edges is performed later 1 . Wound healing for first intention, called surgical site, can become complex (complex surgical wound) when the suture opens as the result of local complications such as seroma, hematoma, infection and dehiscence, requiring a longer time for spontaneous closure 2 .…”
Objective:to identify factors associated with complex surgical wounds in the breasts
and abdomen in outpatients. Method:observational case-control study involving 327 patients, distributed into 160
cases (complex surgical wound) and 167 controls (simple surgical wound).
Data were extracted from the medical records and a binary logistic
regression model was used for analysis, considering a significance level of
5%. Results:the factors associated with greater chance of occurrence of complex surgical
wound were 18 to 59 years of age (p = 0.003), schooling < 8 years (p =
0.049), radiotherapy (p < 0.001), hysterectomy (p = 0.003), glycemia (≤
99 mg/dL) and arterial hypertension (p = 0.033), while quadrantectomy (p =
0.025) served as a protective factor. Conclusion:radiotherapy was the most significant factor for surgical wound
complications. Glycemic alteration was an unexpected result and shows the
need for further studies related to this topic.
“…The variables related to the surgical wound consisted of topography (abdomen, breast) and type of surgical intervention. The variables chosen were treated in a previous study on complex surgical wounds, directed by the authors of this study 2 …”
Section: Methodsmentioning
confidence: 99%
“…And finally, third intention healing happens when the surgical wound is left open for a short period of time and the re-approximation of the edges is performed later 1 . Wound healing for first intention, called surgical site, can become complex (complex surgical wound) when the suture opens as the result of local complications such as seroma, hematoma, infection and dehiscence, requiring a longer time for spontaneous closure 2 .…”
Objective:to identify factors associated with complex surgical wounds in the breasts
and abdomen in outpatients. Method:observational case-control study involving 327 patients, distributed into 160
cases (complex surgical wound) and 167 controls (simple surgical wound).
Data were extracted from the medical records and a binary logistic
regression model was used for analysis, considering a significance level of
5%. Results:the factors associated with greater chance of occurrence of complex surgical
wound were 18 to 59 years of age (p = 0.003), schooling < 8 years (p =
0.049), radiotherapy (p < 0.001), hysterectomy (p = 0.003), glycemia (≤
99 mg/dL) and arterial hypertension (p = 0.033), while quadrantectomy (p =
0.025) served as a protective factor. Conclusion:radiotherapy was the most significant factor for surgical wound
complications. Glycemic alteration was an unexpected result and shows the
need for further studies related to this topic.
“…The main groups of chronic wounds of non-surgical origin are vascular ulcers of the lower limbs, neuropathic ulcers, such as those found in diabetics and pressure injuries (3,5,7) . Surgical wounds can be considered acute when healing happens by first intention and can become complex and chronic when they present complications such as dehiscence and infection, requiring healing by second intention (4,7) .…”
Section: Introductionmentioning
confidence: 99%
“…About 234 million surgeries are performed worldwide each year. A retrospective study based on data from the US Wound Registry, indicated that 20.8% of all types of wounds are represented by surgical wounds that did not heal, with an average cost of treatment for wound healing of US$ 3,927 (7) . This is an example of how the cost of treating surgical wounds with scar deficits can increase, due to the complexity and longer time of outpatient follow-up (7) .…”
Section: Introductionmentioning
confidence: 99%
“…The main groups of chronic wounds of non-surgical origin are vascular ulcers of the lower limbs, neuropathic ulcers, such as those found in diabetics and pressure injuries ( 3 , 5 , 7 ) .…”
Objective: to evaluate the use of the 2D-FlexRuler as a facilitating tool for the early calculation of the predictive scar factor of chronic wounds. Method: a descriptive study with a quantitative, experimental, longitudinal and prospective approach. The sample consisted of 22 outpatients. 32 chronic wounds were analyzed. The wound edges were identified and drawn on the 2D-FlexRuler. The calculations of the areas of chronic wounds were obtained by manual, traditional methods, by software and Matlab algorithm. These areas were compared with each other to determine the efficiency of the proposed ruler in relation to traditional methods. Results: the calculation of the wound area by the traditional method and Kundin’s coefficient show average errors greater than 40%. The manual estimation of the area with the 2D-FlexRuler is more accurate in relation to traditional measurement methods, which were considered quantitatively disqualified. When compared with the reference method, for example, the Klonk software, the data obtained by 2D-FlexRuler resulted in an error of less than 1.0%. Conclusion: the 2D-FlexRuler is a reliable metric platform for obtaining the anatomical limits of chronic wounds. It facilitated the calculation of the wound area under monitoring and allowed to obtain the scar predictive factor of chronic wounds with precocity in two weeks.
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