-
Tytuł:
-
Initial Outcomes of a Novel Irrigating Wound Protector for Reducing the Risk of Surgical Site Infection in Elective Colectomies.
-
Autorzy:
-
Malek AJ; Department of Surgery, Baylor Scott & White Health - Texas A&M, Temple, Texas.
Stafford SV; Department of Surgery, University of Rochester - Strong Memorial Hospital, Rochester, New York.
Papaconstantinou HT; Department of Surgery, Baylor Scott & White Health - Texas A&M, Temple, Texas.
Thomas JS; Department of Surgery, Baylor Scott & White Health - Texas A&M, Temple, Texas. Electronic address: .
-
Źródło:
-
The Journal of surgical research [J Surg Res] 2021 Sep; Vol. 265, pp. 64-70. Date of Electronic Publication: 2021 Apr 20.
-
Typ publikacji:
-
Comparative Study; Journal Article
-
Język:
-
English
-
Imprint Name(s):
-
Publication: New York, NY : Academic Press
Original Publication: Philadelphia [etc.]
-
MeSH Terms:
-
Colectomy/*instrumentation
Surgical Wound Infection/*prevention & control
Adult ; Aged ; Aged, 80 and over ; Colectomy/adverse effects ; Colectomy/economics ; Elective Surgical Procedures/adverse effects ; Elective Surgical Procedures/economics ; Elective Surgical Procedures/instrumentation ; Female ; Humans ; Length of Stay ; Male ; Middle Aged ; Retrospective Studies ; Surgical Wound Infection/economics ; Surgical Wound Infection/epidemiology ; Surgical Wound Infection/etiology ; Texas/epidemiology
-
Contributed Indexing:
-
Keywords: Colorectal surgery; Intraoperative barrier device; Surgical site infection
-
Entry Date(s):
-
Date Created: 20210422 Date Completed: 20210927 Latest Revision: 20210927
-
Update Code:
-
20240104
-
DOI:
-
10.1016/j.jss.2021.02.054
-
PMID:
-
33887653
-
Background: Surgical site infection (SSI) rates in elective colorectal surgery remain high due to intraoperative exposure of colonic bacteria at the surgical site. We aimed to evaluate 30-day SSI outcomes of a novel wound retractor that combines barrier protection with continuous wound irrigation in elective colorectal resection.
Materials and Methods: A retrospective single-center cohort-matched analysis included all patients undergoing elective colorectal resection utilizing the novel irrigating wound protector (IWP) from April 2015 to July 2019. A control cohort of patients who underwent the same procedures with a standard wound protector over the same time period were also identified. Patients from both groups were matched for procedure type, procedure approach, pathology requiring operation, age, sex, race, body mass index, diabetes, smoker status, hypertension, presence of disseminated cancer, current steroid or immunosuppressant use, wound classification, and American Society of Anesthesiologist classification. SSI frequency, SSI subtype (superficial, deep, or organ space), hospital length of stay (LOS) and associated procedure were tabulated through 30 postoperative days. Fisher's exact test and number needed to treat (NNT) were used to compare SSI rates and estimate cost between both groups.
Results: The IWP group had 41 patients. The control group had 82 patients. Control-matched variables were similar for both groups. 30-day SSI rates were significantly lower in the IWP group (P=0.0298). length of stay was significantly shorter in the IWP group (P=0.0150). The NNT for the IWP to prevent one episode of SSI was 8.2 patients.
Conclusions: The novel IWP device shows promise to reducing the risk of SSI in elective colorectal surgery.
(Copyright © 2021. Published by Elsevier Inc.)
