{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T15:51:45Z","timestamp":1759333905645,"version":"build-2065373602"},"reference-count":17,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,3,10]],"date-time":"2014-03-10T00:00:00Z","timestamp":1394409600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The frequency of wound dehiscence after abdominal surgery has been reported to be approximately 4\u201329%, and that of surgical site infections is said to be of about 20%. We examined the effectiveness of the subcutaneous <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">VAC<\/jats:styled-content> drain (<jats:styled-content style=\"fixed-case\">JVD<\/jats:styled-content>) in the drainage of bleeding and exudates from surgical wounds.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>The study was conducted on 192 patients who underwent abdominal surgery from <jats:styled-content style=\"fixed-case\">O<\/jats:styled-content>ctober 2009 to <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>ebruary 2011, and in whom indwelling <jats:styled-content style=\"fixed-case\">JVD<\/jats:styled-content> were placed. During the study period, <jats:styled-content style=\"fixed-case\">JVD<\/jats:styled-content> (10\u2010Fr) were placed subcutaneously on the anterior surface of the fascia in all patients. We examined the frequency of surgical wound complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A longitudinal incision was used in 101 patients, and a transverse abdominal incision was used in 91 patients. Subjects with a subcutaneous fat thickness of 2\u2009cm or thicker accounted for 115 patients. Subcutaneous hematoma was present in three patients, but only two patients (1%) showed dehiscence that required treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study revealed that subcutaneous <jats:styled-content style=\"fixed-case\">JVD<\/jats:styled-content> is useful for the closure of surgical incisions in gynecology and obstetrics, and that there are no limitations to their applicability.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.12312","type":"journal-article","created":{"date-parts":[[2014,3,10]],"date-time":"2014-03-10T05:20:52Z","timestamp":1394428852000},"page":"1089-1097","source":"Crossref","is-referenced-by-count":2,"title":["Clinical experience of <scp>J<\/scp>\u2010<scp>VAC<\/scp> drain for skin closure in the laparotomy of obstetrics and gynecology"],"prefix":"10.1111","volume":"40","author":[{"given":"Kazuhiro","family":"Kajiwara","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Jikei University School of Medicine  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eizo","family":"Kimura","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Kousei General Hospital  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makoto","family":"Nakano","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Kousei General Hospital  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirokuni","family":"Takano","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Jikei University School of Medicine  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aikou","family":"Okamoto","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Jikei University School of Medicine  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,3,10]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"532","article-title":"Abdominal hysterectomy in obese women","volume":"142","author":"Pitkin RM","year":"1976","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(95)90267-8"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2006.04.013"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2005.03.063"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.1988.tb01679.x"},{"key":"e_1_2_7_7_1","first-page":"327","article-title":"Subcutaneous drain vs. suture in obese women undergoing cesarean delivery. 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