scholarly journals Subcutaneous drains reduce the surgical site infection after primary wound closure in stoma reversal patients

MOJ Surgery ◽  
2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Jai P Singh
Keyword(s):  
Surgical Site Infection ◽  
Wound Closure ◽  
Site Infection ◽  
Stoma Reversal ◽  
Primary Wound Closure

scholarly journals Comparison of Superficial Surgical Site Infection Between Delayed Primary Versus Primary Wound Closure in Complicated Appendicitis

2018 ◽  
Vol 267 (4) ◽  
pp. 631-637 ◽  
Author(s):  
Boonying Siribumrungwong ◽  
Anuwat Chantip ◽  
Pinit Noorit ◽  
Chumpon Wilasrusmee ◽  
Winai Ungpinitpong ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Wound Closure ◽  
Complicated Appendicitis ◽  
Site Infection ◽  
Primary Wound Closure

scholarly journals Outcomes and Predictors of Incisional Surgical Site Infection in Stoma Reversal

JAMA Surgery ◽  
2013 ◽  
Vol 148 (2) ◽  
pp. 183 ◽  
Author(s):  
Mike K. Liang ◽  
Linda T. Li ◽  
Andres Avellaneda ◽  
Jennifer M. Moffett ◽  
Stephanie C. Hicks ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Site Infection ◽  
Stoma Reversal ◽  
Incisional Surgical Site Infection

scholarly journals Comparison of 2-octyl cyanoacrylate skin adhesive and interrupted polypropylene sutures for wound closure in total ankle arthroplasty

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Gun-Woo Lee ◽  
Woo Kyoung Kwak ◽  
Keun-Bae Lee
Keyword(s):  
Patient Satisfaction ◽  
Surgical Site Infection ◽  
Wound Closure ◽  
Wound Dehiscence ◽  
Wound Complications ◽  
Site Infection ◽  
Ankle Arthroplasty ◽  
Suture Group ◽  
Allergic Contact ◽  
Polypropylene Sutures

Abstract Background Adhesive skin materials have increasingly been used in orthopedic surgery. We aimed to compare the efficacy and safety of skin adhesive (2-octyl cyanoacrylate and polymer mesh, Dermabond Prineo) and interrupted polypropylene sutures for wound closure in patients undergoing total ankle arthroplasty (TAA). Methods We prospectively enrolled 107 consecutive patients (108 ankles) undergoing TAA and divided them into two groups: skin adhesive group (36 ankles) and suture group (72 ankles). The primary outcome assessment included wound complications and patient satisfaction for wound cosmesis. The secondary outcome assessment included duration of surgery, length of hospital stay, and the Ankle Osteoarthritis Scale (AOS) pain and disability score. Results There was one case of allergic contact dermatitis, three cases of wound dehiscence, and one case of superficial surgical site infection in the skin adhesive group. Among them, one case each with allergic contact dermatitis and wound dehiscence finally progressed to deep surgical site infection. Three cases of wound dehiscence were also reported in the suture group; however, there was no case of surgical site infection. Patient satisfaction for wound cosmesis was significantly higher in the skin adhesive group than in the suture group (p = 0.001). There was no statistically significant difference between the groups in terms of secondary outcomes (p > 0.05). Conclusions Although the use of Dermabond Prineo showed better patient satisfaction for wound cosmesis, it showed significantly high wound complication rates and no other clinical benefits compared to interrupted polypropylene suture in TAA. Our results suggest that awareness of the possibility of wound complications is necessary when Dermabond Prineo is used in TAA.

scholarly journals SURGICAL SITE INFECTION;

2017 ◽  
Vol 24 (12) ◽  
pp. 1770-1774
Author(s):  
Syed Muhammad Asar Hussain ◽  
Saadat Ali Janjua ◽  
Amna Fareed ◽  
Asrar Ahmad ◽  
Irum Saleem
Keyword(s):  
Surgical Site Infection ◽  
Study Design ◽  
Primary Closure ◽  
Military Hospital ◽  
Site Infection ◽  
Trial Duration ◽  
Primary Wound Closure ◽  
Delayed Primary Closure ◽  
Group A ◽  
Group B

Objectives: To compare the frequency of surgical site infection after primaryand delayed primary wound closure in dirty abdominal wounds. Study Design: Randomizedcontrolled trial. Duration and Setting: This study was carried out over a period of six monthsfrom 07-02-2014 to 06-08-2014 in the department of surgery combined military hospital Quetta.Methodology: A total of 190 patients were included in this study. wound was observed fordevelopment of surgical site infection post operatively within seven days by the assignedinvestigator who was unaware of the wound study design. surgical site infection was assessedusing Southampton wound grading. Results: Mean age of the patients was 30.89±10.38 and32.74±9.52 in group A and B, respectively. in group-A, 73 patients (76.8%) and in group-B 66patients (69.5%) were male while 22 patients (23.2%) of group-A and 29 patients (30.5%) ingroup-B were female.in group-A surgical site infection was observed in 29 patients (30.5%)and in group-B 12 patients (12.6%) were having surgical site infection. statistically significantdifference was found between two groups (p=0.003). Conclusion: The frequency of surgicalsite infection was significantly lower after delayed primary closure of dirty wounds as comparedto primary closure.

scholarly journals Bluebelle pilot randomised controlled trial of three wound dressing strategies to reduce surgical site infection in primary surgical wounds

BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e030615 ◽  
Author(s):  
Jane Blazeby
Keyword(s):  
Randomised Controlled Trial ◽  
Surgical Site Infection ◽  
Wound Closure ◽  
Controlled Trial ◽  
Response Rates ◽  
Secondary Outcome ◽  
Site Infection ◽  
Main Trial ◽  
Surgical Wounds ◽  
Randomised Controlled

ObjectiveSurgical site infection (SSI) affects up to 25% of primary surgical wounds. Dressing strategies may influence SSI risk. The Bluebelle study assessed the feasibility of a multicentre randomised controlled trial (RCT) to evaluate the effectiveness and cost-effectiveness of different dressing strategies to reduce SSI in primary surgical wounds.DesignA pilot, factorial RCT.SettingFive UK hospitals.ParticipantsAdults undergoing abdominal surgery with a primary surgical wound.InterventionsParticipants were randomised to ‘simple dressing’, ‘glue-as-a-dressing’ or ‘no dressing’, and to the time at which the treatment allocation was disclosed to the surgeon (disclosure time, before or after wound closure).Primary and secondary outcome measuresFeasibility outcomes focused on recruitment, adherence to randomised allocations, reference assessment of SSI and response rates to participant-completed and observer-completed questionnaires to assess SSI (proposed primary outcome for main trial), wound experience and symptoms, and quality of life (EQ-5D-5L).ResultsBetween March and November 2016, 1115 patients were screened; 699 (73.4%) were eligible and approached, 415 (59.4%) consented and 394 (35.3%) were randomised (simple dressing=133, glue=129 and ‘no dressing’=132). Non-adherence to dressing allocation was 2% (3/133), 6% (8/129) and 15% (20/132), respectively. Adherence to disclosure time was 99% and 86% before and after wound closure, respectively. The overall rate of SSI (reference assessment) was 18.1% (51/281). Response rates to the Wound Healing Questionnaire and other questionnaires ranged from >90% at 4 days to 68% at 4–8 weeks.ConclusionsA definitive RCT of dressing strategies including ‘no dressing’ is feasible. Further work is needed to optimise questionnaire response rates.Trial registration number49328913; Pre-results.

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