The Curative Effect Observation of Subcutaneous Negative Pressure Drainage Tube in Preventing Abdominal Incision Fat Liquefaction in Postoperative Obese Patients_West China Medical Journal

Authors：

 TAOLan ¹ , ZHENGZhen-jiang ¹ ,  NINGNing ²

1. Department of General Surgery, Chengdu Second Clinical College A liated to Chongqing Medical University & Chengdu ird People's Hospital, Chengdu, Sichuan 610031, P. R. China;
2. Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

NINGNing, Email: gkningning@126.com

Keywords：

Negative pressure drainage; Fat liquefaction; Wound healing

DOI：

10.7507/1002-0179.20150524

Video：

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Objective To investigate the effcacy of subcutaneous placement of negative pressure drainage tube in the prevention of incision fat liquefaction in obese patients after abdominal surgery. Methods The wound healing situation in 84 obese patients who underwent abdominal surgery in our department from January 2013 to May 2015 were retrospectively analyzed. The patients were divided into tube placement group (n=39) and control group (n=45). Patients in the tube placement group accepted negative pressure drainage tube placement, while those in the control group underwent routine suturing of the incision without negative pressure drainage tube. The incision healing grade and fat liquefaction rate of the two groups of patients were compared and analyzed. Results There was no significant diTherence in grade-A and –B healing rate and fat liquefaction rate between the two groups (P>0.05), but grade-C healing rate and the second-stage suturing rate in the tube placement group were significantly lower than those of the control group (P<0.05). There was no significant diTherence in grade-C healing rate between the two groups for type-Ⅱ incisions (P>0.05), while the grade-C healing rat of patients with type-Ⅲ incisions was significantly lower in the tube placement group than that in the control group (P<0.05). Conclusion Negative pressure drainage tube can decrease grade-C healing rate and second-stage suturing rate as well as grade-C healing rate of type-Ⅲ incisions in obese patients after abdominal surgery.

Citation： TAOLan, ZHENGZhen-jiang, NINGNing. The Curative Effect Observation of Subcutaneous Negative Pressure Drainage Tube in Preventing Abdominal Incision Fat Liquefaction in Postoperative Obese Patients. West China Medical Journal, 2015, 30(10): 1823-1825. doi: 10.7507/1002-0179.20150524 Copy

1.	赵志鸿, 白志刚, 王玉芳, 等. 皮下置管负压引流防治肥胖患者腹部纵切口脂肪液化前瞻性研究[J]. 中国普外基础与临床杂志, 2011, 18(10):1080-1083.
2.	吴在德, 吴肇汉. 外科学[M]. 6版. 北京:人民卫生出版社, 2004:143.
3.	苏明宝, 王一平, 王旭飞. 切口脂肪液化20例治疗体会[J]. 中国实用外科杂志, 1999, 19(3):144.
4.	朱建昌, 张波. 腹部手术切口脂肪液化的原因与防治[J]. 中国现代医生, 2008, 46(12):35-36.
5.	Chowdri NA, Qadri SA, Parray FQ, et al. Role of subcutaneous drains in obese patients undergoing elective cholecystectomy: a cohort study[J]. Int J Surg, 2007, 5(6):404-407.
6.	曹瑞芳, 陈小霞, 罗洁. 腹部切口分类处置预防脂肪液化效果观察[J]. 湖北科技学院学报:医学版, 2012, 26(6):506-508.
7.	纪伟光, 吴达志, 王旭. 高频电刀对腹部切口愈合影响实验和临床研究[J]. 中华医学杂志, 2002, 17(5):1199.
8.	纪伟光, 祁志, 王旭, 等. 高频电刀致腹部切口感染影响的实验研究[J]. 中国冶金工业医学杂志, 2001, 18(6):325.
9.	麦建彩, 欧庆文, 罗娇, 等. 简易负压引流在预防肥胖剖宫产产妇腹部切口脂肪液化的临床分析[J]. 医学理论与实践, 2015, 28(13):1774-1775.
10.	黄玉平. 分析负压吸引技术在妇产科腹部手术切口脂肪液化中的预防作用[J]. 齐齐哈尔医学院学报, 2015, 36(5):699-700.
11.	张端孟, 凌丰军, 王永恒. 负压引流在腹部切口重度脂肪液化中的应用体会[J]. 航空航天医学杂志, 2015, 25(2):170-171.
12.	王兆伟, 王峻峰. 切口下预置引流管防治高危患者切口脂肪液化[J]. 中国农村卫生, 2015, 3(8):83-84.
13.	Nakayama H, Takayama T, Okubo T, et al. Subcutaneous drainage to prevent wound infection in liver resection:a randomized controlled trial[J]. J Hepatobiliary Pancreat Sci, 2014, 21(7):509-517.
14.	Durai R, Ng PC. Surgical vacuum drains:types, uses, and complications[J]. AORN J, 2010, 91(2):266-274.
15.	Saxena V, Hwang CW, Huang S, et al. Vacuum-assisted closure: microdeformations of wounds and cell proliferation[J]. Plast Reconstr Surg, 2004, 114(5):1086-1096; discussion 1097-1098.
16.	Payne JL, Ambrosio AM. Evaluation of an antimicrobial silver foam dressing for use with VAC (R) therapy:morphological, mechanical, and antimicrobial properties[J]. J Biomed Mater Res B Appl Biomater, 2009, 89B(1):217-222.
17.	McNulty AK, Schmidt M, Feeley T, et al. Effects of negative pressure wound therapy on cellular energetics in broblasts grown in a provisional wound (brin) matrix[J]. Wound Repair Regen, 2009, 17(2):192-199.
18.	周业平. 应用负压治疗伤口的临床实践及进展[J]. 中华损伤与修复杂志:电子版, 2009, 4(1):4-5.

1. 赵志鸿, 白志刚, 王玉芳, 等. 皮下置管负压引流防治肥胖患者腹部纵切口脂肪液化前瞻性研究[J]. 中国普外基础与临床杂志, 2011, 18(10):1080-1083.
2. 吴在德, 吴肇汉. 外科学[M]. 6版. 北京:人民卫生出版社, 2004:143.
3. 苏明宝, 王一平, 王旭飞. 切口脂肪液化20例治疗体会[J]. 中国实用外科杂志, 1999, 19(3):144.
4. 朱建昌, 张波. 腹部手术切口脂肪液化的原因与防治[J]. 中国现代医生, 2008, 46(12):35-36.
5. Chowdri NA, Qadri SA, Parray FQ, et al. Role of subcutaneous drains in obese patients undergoing elective cholecystectomy: a cohort study[J]. Int J Surg, 2007, 5(6):404-407.
6. 曹瑞芳, 陈小霞, 罗洁. 腹部切口分类处置预防脂肪液化效果观察[J]. 湖北科技学院学报:医学版, 2012, 26(6):506-508.
7. 纪伟光, 吴达志, 王旭. 高频电刀对腹部切口愈合影响实验和临床研究[J]. 中华医学杂志, 2002, 17(5):1199.
8. 纪伟光, 祁志, 王旭, 等. 高频电刀致腹部切口感染影响的实验研究[J]. 中国冶金工业医学杂志, 2001, 18(6):325.
9. 麦建彩, 欧庆文, 罗娇, 等. 简易负压引流在预防肥胖剖宫产产妇腹部切口脂肪液化的临床分析[J]. 医学理论与实践, 2015, 28(13):1774-1775.
10. 黄玉平. 分析负压吸引技术在妇产科腹部手术切口脂肪液化中的预防作用[J]. 齐齐哈尔医学院学报, 2015, 36(5):699-700.
11. 张端孟, 凌丰军, 王永恒. 负压引流在腹部切口重度脂肪液化中的应用体会[J]. 航空航天医学杂志, 2015, 25(2):170-171.
12. 王兆伟, 王峻峰. 切口下预置引流管防治高危患者切口脂肪液化[J]. 中国农村卫生, 2015, 3(8):83-84.
13. Nakayama H, Takayama T, Okubo T, et al. Subcutaneous drainage to prevent wound infection in liver resection:a randomized controlled trial[J]. J Hepatobiliary Pancreat Sci, 2014, 21(7):509-517.
14. Durai R, Ng PC. Surgical vacuum drains:types, uses, and complications[J]. AORN J, 2010, 91(2):266-274.
15. Saxena V, Hwang CW, Huang S, et al. Vacuum-assisted closure: microdeformations of wounds and cell proliferation[J]. Plast Reconstr Surg, 2004, 114(5):1086-1096; discussion 1097-1098.
16. Payne JL, Ambrosio AM. Evaluation of an antimicrobial silver foam dressing for use with VAC (R) therapy:morphological, mechanical, and antimicrobial properties[J]. J Biomed Mater Res B Appl Biomater, 2009, 89B(1):217-222.
17. McNulty AK, Schmidt M, Feeley T, et al. Effects of negative pressure wound therapy on cellular energetics in broblasts grown in a provisional wound (brin) matrix[J]. Wound Repair Regen, 2009, 17(2):192-199.
18. 周业平. 应用负压治疗伤口的临床实践及进展[J]. 中华损伤与修复杂志:电子版, 2009, 4(1):4-5.

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West China Medical Journal

The Curative Effect Observation of Subcutaneous Negative Pressure Drainage Tube in Preventing Abdominal Incision Fat Liquefaction in Postoperative Obese Patients

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