Preventive suture in elderly patients with colorectal cancer healing of abdominal incision.doc

 PAGE \* MERGEFORMAT 7 Preventive suture in elderly patients with colorectal cancer healing of abdominal incision Study: Kun Qu Yang Yi Ting XU Jian He Qiyong [Keywords:] suture techniques, wound healing, elderly colon cancer Wound healing caused by bad foreign reports the occurrence of incisional hernia rate of 11% to 20% (1), the majority of colorectal cancer patients the presence of other diseases, and immune function associated with low and malnutrition (2), and other multiple factors, leading to surgery After the wound infection, dehiscence and other adverse conditions occur, seriously affecting the quality of elderly patients after healing and life. this article some 65 years of age or older patients with colorectal cancer surgery patients with prophylactic suture (PTS), and observe the wound healing situation. 1 Materials and Methods 1.1 Clinical data 83 patients, male 50, female 33 cases. Aged 65 to 83 (mean (73.3 + -7.9 years). PTS group of 44 patients were randomly divided into control group, 39 patients. Among them, 52 cases of colon cancer, 31 cases of rectal cancer complications in Table 1. all patients before surgery to adjust the treatment (albumingt; = 25 g / L, hemoglobingt; = 80 g / L), and greater control of lung infection, control of blood glucose and cardiopulmonary functions. Table 183 patients with complications (omitted) 1.2 Methods All patients were operated under general anesthesia. For the implementation of the PTS of cases closed in a row after peritoneal or rectus sheath, the use of polyester nonabsorbable sutures No. l0 through the incision on both sides of the skin, subcutaneous, abdominal, or belly straight white line before the sheath and the rectus abdominis muscle, in the peritoneum sneak the needle, in the opposite needle after preperitoneal parallel equidistant vertical piercing the skin, set into a 5 cm long latex tube, temporarily tie. needle spacing 3 ~ 5 cm, a total of 3 to 4-pin, to continue inte