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- Title
How to prevent the infection of contaminated abdominal incisions.
- Authors
Hao Wang; Xin-Yuan Li; Yan-Ming An; Ya-Min Guo; Wang, Hao; Li, Xin-Yuan; An, Yan-Ming; Guo, Ya-Min
- Abstract
<bold>Background: </bold>Surgical site infection is one of the most common complications of conventional laparoscopic surgery. Preventing infection of the incision is particularly important.<bold>Objective: </bold>To discuss how to prevent the occurrence of surgical site infection after contaminated abdominal surgery.<bold>Methods: </bold>Five hundred and fifty-one surgery patients with ``contaminated abdominal incisions'' from January 2011 to May 2013 were analyzed in terms of the preventative treatment, and summarized for surgical site infection. Subcutaneous tissue flushed with normal saline + hydrogen peroxide before suturing in the intervention 1 group; subcutaneous tissue flushed with normal saline + 0.5% povidone-iodine before suturing in the intervention 2 group.<bold>Results: </bold>When subcutaneous fat was contaminated to a depth of ≤ 2.5 cm, the rates of surgical site infection in the control group and the intervention groups showed no significant difference (P > 0.05). When subcutaneous fat was contaminated to a depth of ≥ 3.0 cm, the rate of surgical site infection in the control group compared with the intervention one group was not statistically different (P > 0.05). The rate of surgical site infection in the control group compared with the intervention two group was statistical significant (P < 0.05). The rate of surgical site infection in the intervention one group compared with the intervention two group was statistical significant (P < 0.05).<bold>Conclusions: </bold>Preoperative control of the blood sugar; correction of anemia and the hypoalbuminemia; use of intraoperative the high-frequency electrotome; irrigation of the incision with plenty of physiological saline +$ iodophor before suturing the subcutaneous fat layer were key to effectively preventing infection in contaminated abdominal incisions.
- Subjects
SURGICAL site; ABDOMINAL diseases; LAPAROSCOPIC surgery; HYDROGEN peroxide; BLOOD sugar; DISEASES; ABDOMINAL surgery; SURGICAL site infection prevention; LAPAROSCOPY; SURGICAL site infections; THERAPEUTICS
- Publication
Technology & Health Care, 2016, Vol 24, pS811
- ISSN
0928-7329
- Publication type
journal article
- DOI
10.3233/THC-161209