{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T11:40:18Z","timestamp":1760701218325,"version":"build-2065373602"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:00:00Z","timestamp":1760659200000},"content-version":"vor","delay-in-days":17,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The management of contaminated abdominal incisions after surgery for perforated hollow viscus organs remains controversial. Limited studies have shown some benefits to delayed primary closure over primary closure, specifically related to a decrease in surgical site infections (SSI) and decreased length of stay; however, there is little research looking at its effect on decreasing outpatient wound care needs. The three patients successfully underwent delayed primary closure of their midline incisions after exploratory laparotomy for perforated diverticulitis. None required additional wound care in the form of home health, wound care clinic visits, or nursing facility placement after discharge. All three patients did not develop any SSIs postoperatively. This case series demonstrated that delayed primary closure with the aid of negative pressure wound therapy is an effective way to minimize outpatient wound care needs and costs and is effective at managing contaminated abdominal incisions.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf825","type":"journal-article","created":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T11:10:01Z","timestamp":1760699401000},"source":"Crossref","is-referenced-by-count":0,"title":["A case series of delayed primary closure of abdominal laparotomy incisions after perforated diverticulitis"],"prefix":"10.1093","volume":"2025","author":[{"given":"Autumn D","family":"Pak","sequence":"first","affiliation":[{"name":"Department of General Surgery\/Trauma, Akron City Hospital, Akron City Hospital Summa Health , 55 Arch Street, Suite 2F, Akron, OH 44304 ,","place":["United States"]},{"name":"Northeast Ohio Medical University, Northeast Ohio Medical University , 4209 St. Rt. 44, PO Box 95, Rootstown, Ohio 44272 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabel M","family":"Kiko","sequence":"additional","affiliation":[{"name":"Department of General Surgery\/Trauma, Akron City Hospital, Akron City Hospital Summa Health , 55 Arch Street, Suite 2F, Akron, OH 44304 ,","place":["United States"]},{"name":"Northeast Ohio Medical University, Northeast Ohio Medical University , 4209 St. Rt. 44, PO Box 95, Rootstown, Ohio 44272 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabeth A","family":"Loomis","sequence":"additional","affiliation":[{"name":"Department of General Surgery\/Trauma, Akron City Hospital, Akron City Hospital Summa Health , 55 Arch Street, Suite 2F, Akron, OH 44304 ,","place":["United States"]},{"name":"Northeast Ohio Medical University, Northeast Ohio Medical University , 4209 St. Rt. 44, PO Box 95, Rootstown, Ohio 44272 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katie","family":"Francis","sequence":"additional","affiliation":[{"name":"Department of General Surgery\/Trauma, Akron City Hospital, Akron City Hospital Summa Health , 55 Arch Street, Suite 2F, Akron, OH 44304 ,","place":["United States"]},{"name":"Northeast Ohio Medical University, Northeast Ohio Medical University , 4209 St. Rt. 44, PO Box 95, Rootstown, Ohio 44272 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,10,17]]},"reference":[{"key":"2025101707095805800_ref1","doi-asserted-by":"publisher","first-page":"779","DOI":"10.1001\/jamasurg.2013.2336","article-title":"Systemic review and meta-analysis of randomized clinical trials comparing primary vs delayed primary skin closure in contaminated and dirty abdominal incisions","volume":"148","author":"Bhangu","year":"2013","journal-title":"JAMA Surg"},{"key":"2025101707095805800_ref2","doi-asserted-by":"publisher","first-page":"281","DOI":"10.3889\/oamjms.2022.8379","article-title":"Primary closure or delayed primary closure? Assessment of optimum management of surgical wounds for perforated appendicitis","volume":"10","author":"Fuad","year":"2022","journal-title":"Open Access Maced J Med Sci [Internet]"},{"key":"2025101707095805800_ref3","doi-asserted-by":"publisher","first-page":"3708","DOI":"10.18203\/2349-2902.isj20194429","article-title":"Primary versus delayed wound closure technique in laparotomy wound of perforation peritonitis","volume":"6","author":"Sasikumar","year":"2019","journal-title":"Int Surg J"},{"key":"2025101707095805800_ref4","doi-asserted-by":"publisher","first-page":"70","DOI":"10.4103\/ajps.AJPS_166_14","article-title":"Primary versus delayed primary closure of laparotomy wounds in children following typhoid ileal perforation in Ile-Ife, Nigeria","volume":"14","author":"Inyang","year":"2017","journal-title":"Afr J Paediatr Surg"},{"key":"2025101707095805800_ref5","doi-asserted-by":"publisher","first-page":"1253","DOI":"10.37506\/mlu.v21i2.2862","article-title":"Primary versus delayed wound closure technique in infected laparotomy wounds","volume":"21","author":"Singh","year":"2021","journal-title":"Medico Legal Update"},{"key":"2025101707095805800_ref6","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1016\/j.jcma.2012.02.013","article-title":"Delayed primary closure versus primary closure for wound management in perforated appendicitis: a prospective randomized controlled trial","volume":"75","author":"Chiang","year":"2012","journal-title":"J Chin Med Assoc"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/10\/rjaf825\/64730177\/rjaf825.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/10\/rjaf825\/64730177\/rjaf825.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T11:10:02Z","timestamp":1760699402000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf825\/8290473"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,30]]},"references-count":6,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,9,30]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf825","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2025,10]]},"published":{"date-parts":[[2025,9,30]]},"article-number":"rjaf825"}}