{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T12:27:54Z","timestamp":1753273674842},"reference-count":15,"publisher":"Mark Allen Group","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wound Care"],"published-print":{"date-parts":[[2013,1]]},"abstract":"Objective:<\/jats:title> To assess the outcome of active management of disrupted wounds through surgical approximation and re-closure. <\/jats:p><\/jats:sec>Method:<\/jats:title> A prospective, non-comparative study, on all consecutive patients with disrupted laparotomy wounds treated at a tertiary medical centre, from November 2009 to December 2011. Data on patient demographics, diagnosis, type of abdominal incision, initial closure technique, infections and results of secondary re-closure were collected from the medical files. All patients underwent bedside closure with an en bloc mass suture mattress technique, performed by two attending gynaecologic oncologists. <\/jats:p><\/jats:sec>Results:<\/jats:title> Of 197 patients who underwent abdominal laparotomy during the study period, 31 (16%) had a disrupted wound. Following surgical re-closure, 26 wounds (84%) were completely healed or needed only minor additional care by follow up on day 10. Five wounds (16%) failed primary management and required re-suturing; all subsequently healed. There were no long-term complications. <\/jats:p><\/jats:sec>Conclusion:<\/jats:title> Active surgical re-closure of disrupted abdominal laparotomy wounds is safe and effective in patients after treatment surgically for M\u00fcllerian malignancies. <\/jats:p><\/jats:sec>Declaration of interest:<\/jats:title> There were no external sources of funding for this study. The authors have no conflicts of interest to declare. <\/jats:p><\/jats:sec>","DOI":"10.12968\/jowc.2013.22.1.40","type":"journal-article","created":{"date-parts":[[2014,5,23]],"date-time":"2014-05-23T12:59:59Z","timestamp":1400849999000},"page":"40-42","source":"Crossref","is-referenced-by-count":1,"title":["Disrupted abdominal laparotomy wounds in gynaecologic oncology patients: benefits of active surgical re-closure"],"prefix":"10.12968","volume":"22","author":[{"given":"Y.","family":"Peled","sequence":"first","affiliation":[{"name":"Gynecologic Oncology Division, The Helen Schneider Hospital for Women, Rabin Medical Center, Petach Tikva, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Krissi","sequence":"additional","affiliation":[{"name":"Gynecologic Oncology Division, The Helen Schneider Hospital for Women, Rabin Medical Center, Petach Tikva, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Sabah","sequence":"additional","affiliation":[{"name":"Gynecologic Oncology Division, The Helen Schneider Hospital for Women, Rabin Medical Center, Petach Tikva, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Levavi","sequence":"additional","affiliation":[{"name":"Gynecologic Oncology Division, The Helen Schneider Hospital for Women, Rabin Medical Center, Petach Tikva, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Eitan","sequence":"additional","affiliation":[{"name":"Gynecologic Oncology Division, The Helen Schneider Hospital for Women, Rabin Medical Center, Petach Tikva, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5130","reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2011.03.012"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2004.12.048"},{"key":"B3","first-page":"1","volume":"342","author":"DeFrances C.J.","year":"2004","journal-title":"Adv Data"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6109(16)42031-1"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-200206000-00021"},{"key":"B6","volume-title":"Complications in Gynecologic Surgery: Prevention, Recognition, and Management","author":"Orr J.W.","year":"1994"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(02)00935-2"},{"key":"B8","first-page":"597","volume":"76","author":"Walters M.D.","year":"1990","journal-title":"Obstet Gynecol"},{"key":"B9","first-page":"16","volume":"167","author":"Hermann G.G.","year":"1988","journal-title":"Surg Gynecol Obstet"},{"key":"B10","first-page":"321","volume":"80","author":"Dodson M.K.","year":"1992","journal-title":"Obstet Gynecol"},{"key":"B11","first-page":"142","volume":"83","author":"Dodson M.K.","year":"1994","journal-title":"Obstet Gynecol"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.12968\/bjcn.2004.9.Sup1.12495"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2008.08.010"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000171114.75338.06"},{"key":"B15","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2004.09.030"}],"container-title":["Journal of Wound Care"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/jowc.2013.22.1.40","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T14:21:02Z","timestamp":1653315662000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/10.12968\/jowc.2013.22.1.40"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,1]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2013,1]]}},"alternative-id":["10.12968\/jowc.2013.22.1.40"],"URL":"https:\/\/doi.org\/10.12968\/jowc.2013.22.1.40","relation":{},"ISSN":["0969-0700","2052-2916"],"issn-type":[{"value":"0969-0700","type":"print"},{"value":"2052-2916","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,1]]}}}