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学科主题: 临床医学
题名:
Subcutaneous vacuum drains reduce surgical site infection after primary closure of defunctioning ileostomy
作者: Pan, Hong-Da; Wang, Lin; Peng, Yi-Fan; Li, Ming; Yao, Yun-Feng; Zhao, Jun; Zhan, Tian-Cheng; Du, Chang-Zheng; Gu, Jin
关键词: Defunctioning ileostomy ; Primary closure ; Subcutaneous vacuum drain ; Surgical site infection
刊名: INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
发表日期: 2015-07-01
DOI: 10.1007/s00384-015-2168-z
卷: 30, 期:7, 页:977-982
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Gastroenterology & Hepatology ; Surgery
研究领域[WOS]: Gastroenterology & Hepatology ; Surgery
关键词[WOS]: LOW ANTERIOR RESECTION ; WOUND-INFECTION ; RECTAL-CANCER ; STOMA CLOSURE ; METAANALYSIS ; COMPLICATIONS ; PREVENTION ; SURGERY ; SKIN
英文摘要:

Surgical site infection (SSI) is the most common complication after primary closure of defunctioning ileostomy. We use a subcutaneous vacuum drain (SVD) in our institution to prevent infection. This study aimed to analyze the risk factors of SSI and to assess the utility of an SVD for preventing SSI in patients undergoing primary closure of ileostomy.

Patients undergoing ileostomy closure in the Department of Colorectal Surgery, Peking University Cancer Hospital, from September 2006 to March 2013, were included in this study. The clinical features of these patients with or without a subcutaneous drain were reviewed, and the complication rate of SSI was analyzed. The primary endpoints were the incidence and risk factors of SSI, and the secondary endpoints were the rate of overall complications and their management.

A total of 245 consecutive patients were enrolled in the study. The overall incidence of SSI was 8.6 %. Eighty-five (34.7 %) patients received placement of an SVD. The use of SVDs was associated with a significantly lower incidence of SSI compared with primary closure (PC) without an SVD (1.2 vs. 12.5 %, p = 0.001). Multivariate analyses showed that the presence of an SVD (odds ratio (OR) 0.063, p = 0.012), total operation time > 90 min (OR 4.862, p = 0.002), and postoperative complications (OR 10.576, p < 0.001) were independent risk factors of SSI.

This study shows that an SVD is effective for reducing SSI in patients undergoing PC of ileostomy. Further randomized trials are required to confirm our findings and to compare SVDs with purse-string sutures.

语种: 英语
WOS记录号: WOS:000356350900016
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/65172
Appears in Collections:北京大学临床肿瘤学院_胃肠肿瘤中心_期刊论文

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作者单位: Peking Univ Canc Hosp & Inst, Beijing Canc Hosp, Dept Colorectal Surg, Key Lab Carcinogenesis & Translat Res,Minist Educ, Beijing 100142, Peoples R China

Recommended Citation:
Pan, Hong-Da,Wang, Lin,Peng, Yi-Fan,et al. Subcutaneous vacuum drains reduce surgical site infection after primary closure of defunctioning ileostomy[J]. INTERNATIONAL JOURNAL OF COLORECTAL DISEASE,2015,30(7):977-982.
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