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A combination of subcuticular sutures and subcutaneous closed-suction drainage reduces the risk of incisional surgical site infection in loop ileostomy closure.
Fukuoka, Kohei; Koyama, Fumikazu; Kuge, Hiroyuki; Obara, Shinsaku; Nakamoto, Takayuki; Iwasa, Yosuke; Takei, Takeshi; Matsumoto, Yayoi; Sadamitsu, Tomomi; Sho, Masayuki.
Afiliación
  • Fukuoka K; Department of Surgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan.
  • Koyama F; Department of Surgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan. fkoyama@naramed-u.ac.jp.
  • Kuge H; Division of Endoscopy, Nara Medical University Hospital, 840 Shijo-cho, Kashihara, 634-8522, Nara, Japan. fkoyama@naramed-u.ac.jp.
  • Obara S; Department of Surgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan.
  • Nakamoto T; Department of Surgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan.
  • Iwasa Y; Department of Surgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan.
  • Takei T; Division of Endoscopy, Nara Medical University Hospital, 840 Shijo-cho, Kashihara, 634-8522, Nara, Japan.
  • Matsumoto Y; Department of Surgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan.
  • Sadamitsu T; Department of Surgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan.
  • Sho M; Department of Surgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan.
Surg Today ; 51(4): 605-611, 2021 Apr.
Article en En | MEDLINE | ID: mdl-32888080
PURPOSE: The purpose of this study was to evaluate the effectiveness of a wound closure method using a combination of subcuticular sutures and subcutaneous closed-suction drainage (SS closure) for preventing incisional surgical site infection (SSI) in loop ileostomy closure. METHODS: A total of 178 consecutive patients who underwent loop ileostomy closure at Nara Medical University Hospital between 2004 and 2018 were retrospectively assessed. The patients were divided into 2 groups: the conventional skin closure (CC) group from 2004 to 2009 (75 patients) and the SS closure (SS) group from 2010 to 2018 (103 patients). The incidence of incisional SSI was compared between the two groups, and the factors associated with incisional SSI were examined by univariate and multivariate analyses. RESULTS: Incisional SSI occurred in 7 cases (9.3%) in the CC group but was significantly reduced to only 1 case (0.9%) in the SS group (p = 0.034). In the univariate analysis, the hemoglobin levels, serum creatinine levels, and SS closure were associated with incisional SSI. SS closure was the only independent preventive factor for incisional SSI according to the multivariate analysis (hazard ratio = 0.24, p = 0.011). CONCLUSION: The combination of subcuticular sutures and subcutaneous closed-suction drainage may be a promising way of preventing incisional SSI in loop ileostomy closure.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Succión / Infección de la Herida Quirúrgica / Suturas / Ileostomía / Técnicas de Sutura / Técnicas de Cierre de Heridas Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Risk_factors_studies Límite: Female / Humans / Male Idioma: En Revista: Surg Today Año: 2021 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Succión / Infección de la Herida Quirúrgica / Suturas / Ileostomía / Técnicas de Sutura / Técnicas de Cierre de Heridas Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Risk_factors_studies Límite: Female / Humans / Male Idioma: En Revista: Surg Today Año: 2021 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón