Article ; Online: Usefulness of a circumferential wound retractor in emergency colorectal surgery as a preventive measure for surgical site infection. Alexis O-Ring® and emergency surgery.
Revista de gastroenterologia de Mexico (English)
2020 Volume 85, Issue 4, Page(s) 399–403
Abstract: Introduction and aims: More than 20% of healthcare-associated infections correspond to those at surgical sites, and there is a higher incidence of infections in colorectal surgery due to the associated bacterial load. Surgical wound protectors are ... ...
| Title translation | Utilidad del separador circunferencial para herida en cirugía colorrectal de urgencia como medida preventiva para infección del sitio quirúrgico. El Alexis O-Ring® y la cirugía de urgencia. |
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| Abstract | Introduction and aims: More than 20% of healthcare-associated infections correspond to those at surgical sites, and there is a higher incidence of infections in colorectal surgery due to the associated bacterial load. Surgical wound protectors are designed to prevent contamination and mechanical trauma. Our aim was to demonstrate the usefulness of a circumferential wound retractor/protector for the prevention of surgical site infections (SSIs) in emergency colorectal surgery. Methods: Forty-one patients that underwent emergency open surgery at a tertiary care hospital were randomized into 2 groups: 20 cases without the retractor (group A) and 21 cases with the retractor (group B). Subjects were assigned to a group in a 1:1 randomization allocation ratio. The chi-square and Fisher's exact tests were employed for the quantitative variables, and the statistical analysis was performed using the IBM Statistical Package for the Social Sciences software for Mac, version 16.0 (IBM SPSS Inc., Chicago, IL, USA). Results: The SSI rate was 17%. Six group A patients developed SSI versus one group B patient. The use of a circumferential wound retractor/protector was statistically significant for the prevention of surgical wound infections, with a P=.031 and an OR of 8.5. In addition, preoperative blood glucose levels below 200mg/dl provided a 3.2-times higher protective effect, compared with glucose levels above 200mg/dl. Conclusions: In the present prospective randomized pilot study, the use of the circumferential wound retractor/protector significantly decreased the likelihood of SSI in emergency colorectal surgery. |
| Language | Spanish |
| Publishing date | 2020-05-26 |
| Document type | Journal Article |
| ISSN | 2255-534X |
| ISSN (online) | 2255-534X |
| DOI | 10.1016/j.rgmx.2019.08.009 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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