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Skin necrosis between parallel abdominal incisions.

J Pillgram-Larsen, E Normann, M Raeder

Acta Chirurgica Scandinavica

|January 1, 1979

Summary

This summary is machine-generated.

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Skin necrosis can occur between vertical abdominal incisions, even years apart. This complication is more likely in patients with poor peripheral circulation.

Area of Science:

General Surgery
Vascular Surgery
Dermatology

Background:

Vertical abdominal incisions are common surgical approaches.
Sequential abdominal surgeries may involve parallel vertical incisions.
Skin and fascial integrity are crucial post-operatively.

Observation:

Four cases of skin necrosis between parallel vertical abdominal incisions were observed.
Necrosis occurred between new and previously made incisions.
A significant time interval between surgeries did not preclude necrosis.

Findings:

Skin and underlying fascia necrosis developed between parallel vertical incisions.
Necrosis can manifest years after initial abdominal surgery.
Impaired peripheral circulation appears to be a significant risk factor.

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Implications:

This finding highlights a potential complication of repeated vertical abdominal surgeries.
Awareness is needed for patients with compromised circulation undergoing multiple abdominal procedures.
Further research into preventative strategies for surgical site complications is warranted.