New approach to treatment of severe incisional abscesses following laparotomy. Wound closure under systemic antibiotic cover four days after drainage.
Forty consecutive patients who developed subcutaneous abscesses after intraperitoneal operations were treated by incision and drainage followed by suture of the wound four days later under antibiotic cover. The wound was closed by means of interrupted Prolene sutures. No sutures were placed in the wound cavity, and no drain was applied. The antibiotic used was clindamycin 600 mg intravenously peroperatively and 150 mg every six hours for four days.
D000038:Abscess / Q000209:etiology / Q000628:therapy*; D000293:Adolescent; D000328:Adult; D000368:Aged; D002981:Clindamycin / Q000008:administration & dosage*; D004322:Drainage; D005260:Female; D006801:Humans; D007432:Intraoperative Period; D007813:Laparotomy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D013530:Surgical Wound Infection / Q000628:therapy*; D013536:Suture Techniques
D002981:Clindamycin