@article{oai:shiga-med.repo.nii.ac.jp:00003312, author = {塩見, 尚礼 and 清水, 智治 and 佐藤, 浩一郎 and 川崎, 誠康 and 池添, 清彦 and 束田, 宏明 and 林, 直樹 and 井内, 武和 and 熊野, 公束 and 西村, 彰一 and 内藤, 弘之 and 新田, 信人 and 蔦本, 慶裕 and 横田, 徹 and 一瀬, 真澄 and 柿原, 直樹 and 箙, 洋三 and 藤野, 光廣 and 藤田, 益嗣 and 神谷, 純広 and 谷, 眞至}, issue = {1}, journal = {滋賀医科大学雑誌}, month = {Apr}, note = {Objective: To investigate the current ways of wound closure in acute pan-peritonitis surgery at the department of surgery, Shiga University of Medical Science and its affiliated hospitals. Patients and method: Questionnaire survey was conducted by the e-mail regarding the closure methods in surgery for acute pan-peritonitis due to lower gastrointestinal perforation in the department of surgery, Shiga University of Medical Science and its affiliated hospital from January 2013 to June 2017. Result: Responses were obtained from 19 hospitals. The total surgical operation was 369 cases, and the number of cases for each facility was 0 to 186 cases. As for closure of the abdominal wall, 13 facilities (87%) did interrupted suture of peritoneum and fascia with monofilament absorbing suture. Also, five facilities (26.3%) used triclosan-coated sutures for peritoneum and fascia. Skin sutures by nylon were the most frequent in 7 facilities (39%). One facility closed the wound skin a few days after the operation. Negative pressure wound therapy was conducted at 2 institutions, 24 cases (6.5% of the total). Discussion: Since the guidelines for surgical site infection have just changed, the method of wound closure after acute pan-peritonitis surgery varied depending on the facility. In the future, it is necessary to bundle the procedures of the wound closure to analyze the outcomes among the multiple facilities., Departmental Bulletin Paper}, pages = {15--19}, title = {下部消化管穿孔に対する急性汎発性腹膜炎手術における創閉鎖の現況 —アンケート調査結果—}, volume = {31}, year = {2018} }