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

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9.	麥建彩, 歐慶文, 羅嬌, 等. 簡易負壓引流在預防肥胖剖宮產產婦腹部切口脂肪液化的臨床分析[J]. 醫學理論與實踐, 2015, 28(13):1774-1775.
10.	黃玉平. 分析負壓吸引技術在婦產科腹部手術切口脂肪液化中的預防作用[J]. 齊齊哈爾醫學院學報, 2015, 36(5):699-700.
11.	張端孟, 凌豐軍, 王永恒. 負壓引流在腹部切口重度脂肪液化中的應用體會[J]. 航空航天醫學雜志, 2015, 25(2):170-171.
12.	王兆偉, 王峻峰. 切口下預置引流管防治高危患者切口脂肪液化[J]. 中國農村衛生, 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.	周業平. 應用負壓治療傷口的臨床實踐及進展[J]. 中華損傷與修復雜志:電子版, 2009, 4(1):4-5.

1. 趙志鴻, 白志剛, 王玉芳, 等. 皮下置管負壓引流防治肥胖患者腹部縱切口脂肪液化前瞻性研究[J]. 中國普外基礎與臨床雜志, 2011, 18(10):1080-1083.
2. 吳在德, 吳肇漢. 外科學[M]. 6版. 北京:人民衛生出版社, 2004:143.
3. 蘇明寶, 王一平, 王旭飛. 切口脂肪液化20例治療體會[J]. 中國實用外科雜志, 1999, 19(3):144.
4. 朱建昌, 張波. 腹部手術切口脂肪液化的原因與防治[J]. 中國現代醫生, 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, 陳小霞, 羅潔. 腹部切口分類處置預防脂肪液化效果觀察[J]. 湖北科技學院學報:醫學版, 2012, 26(6):506-508.
7. 紀偉光, 吳達志, 王旭. 高頻電刀對腹部切口愈合影響實驗和臨床研究[J]. 中華醫學雜志, 2002, 17(5):1199.
8. 紀偉光, 祁志, 王旭, 等. 高頻電刀致腹部切口感染影響的實驗研究[J]. 中國冶金工業醫學雜志, 2001, 18(6):325.
9. 麥建彩, 歐慶文, 羅嬌, 等. 簡易負壓引流在預防肥胖剖宮產產婦腹部切口脂肪液化的臨床分析[J]. 醫學理論與實踐, 2015, 28(13):1774-1775.
10. 黃玉平. 分析負壓吸引技術在婦產科腹部手術切口脂肪液化中的預防作用[J]. 齊齊哈爾醫學院學報, 2015, 36(5):699-700.
11. 張端孟, 凌豐軍, 王永恒. 負壓引流在腹部切口重度脂肪液化中的應用體會[J]. 航空航天醫學雜志, 2015, 25(2):170-171.
12. 王兆偉, 王峻峰. 切口下預置引流管防治高危患者切口脂肪液化[J]. 中國農村衛生, 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. 周業平. 應用負壓治療傷口的臨床實踐及進展[J]. 中華損傷與修復雜志:電子版, 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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