Novel Method of Surgical Incision Management in Patients Undergoing Colorectal Surgery

2016 ◽  
Vol 101 (1-2) ◽  
pp. 14-19
Author(s):  
Takaaki Fujii ◽  
Hiroki Morita ◽  
Toshinaga Sutoh ◽  
Reina Yajima ◽  
Soichi Tsutsumi ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Negative Pressure ◽  
Colorectal Resection ◽  
Subcutaneous Fat ◽  
Easy Method ◽  
Pressure System ◽  
Surgical Incision ◽  
Wound Area ◽  
Incisional Surgical Site Infection ◽  
Novel Method

We previously demonstrated that subcutaneous drain is effective for preventing incisional surgical site infection (SSI) in patients with thick subcutaneous fat in colorectal surgery. We have recently attempted a novel closure technique in colorectal surgery for the prevention of incisional SSI. In the current study, we described this novel method for prevention of incisional SSI and share our assessment of efficiency of this incision management in patients undergoing colorectal surgery. The procedure “wound dressing with temporary negative pressure” using Opsite Post-Op Visible and an Atom Multipurpose Tube, is a simple and easy method. Immediately after incisions were closed, Opsite Post-Op Visible dressing was applied over the incision site with an Atom Multipurpose catheter, and negative pressure was applied through the catheter. We analyzed the cases of 203 patients who underwent colorectal resection. In 60 cases, we performed this negative pressure system for prevention of SSI. We reviewed the clinical features of these cases treated by this novel method and found that the incisional SSI rate in patients who underwent colorectal resection was significantly reduced following the use of the new method. There were no complications in any of the cases due to DNP. This dressing with negative pressure (DNP) may lead to wound drainage and a reduction of dead space in a subcutaneous wound area. These findings indicate that the use of DNP is safe, easy, and effective for preventing incisional SSI in patients undergoing colorectal surgery.

scholarly journals High Visceral to Subcutaneous Fat Ratio Is Associated with Increased Postoperative Inflammatory Response after Colorectal Resection in Inflammatory Bowel Disease

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Yao Wei ◽  
Feng Zhu ◽  
Jianfeng Gong ◽  
Jianbo Yang ◽  
Tenghui Zhang ◽  
...  
Keyword(s):  
Body Composition ◽  
Colorectal Surgery ◽  
Inflammatory Response ◽  
Inflammatory Markers ◽  
Colorectal Resection ◽  
Univariate Analysis ◽  
Plasma Concentrations ◽  
Subcutaneous Fat ◽  
Infectious Complications ◽  
The Impact

Aim. Excessive postoperative inflammatory response, which is characterized by overproduction of cytokines, often leads to complications after colorectal surgery. However, the impact of body composition on postoperative inflammatory response is largely unknown. The aim of this study is to elucidate whether body fat amount and its distribution affects postoperative inflammation after colorectal surgery in IBD patients. Methods. Eighty-six patients undergoing colorectal resection for IBD from June 2014 to Jan 2017 were enrolled. Abdominal CT images within one week prior to surgery were assessed for visceral fat, subcutaneous fat, and muscle mass. Postoperative inflammatory response was evaluated using serum CRP, PCT, and IL-6 levels on postoperative days 1, 3, and 5. Univariate analysis was conducted to identify risk factors for infectious complications. The correlation between body composition and postoperative plasma concentration of inflammatory markers was analyzed using a linear regression model. ROC curve was applied to analyze the effect of different body composition parameters on postoperative infectious complications and to determine the relationship between inflammatory markers and infectious complications. Results. Neither volume of fat or muscle was related to postoperative plasma concentrations of CRP, IL-6, and PCT. However, visceral to subcutaneous fat ratio was associated with PCT levels on postoperative days (POD) 1, 3, and 5, with the highest regression coefficient on POD1 (β=0.360; 95% CI, 0.089–0.631; P=0.010). Body composition did not predict postoperative infectious complications, while CRP on POD 3 was predictive of infectious complications. Conclusion. Increased visceral to subcutaneous fat ratio was associated with postoperative inflammatory response in IBD patients undergoing colorectal resection. This may partly explain the increased incidence of postoperative complications in patients with visceral obesity.

scholarly journals Impact of negative pressure system on microbiological air quality in a Central Sterile Supply Department

2021 ◽  
Vol 63 (1) ◽  
Author(s):  
Alda Graciele Claudio dos Santos Almeida ◽  
Camila Quartim de Moraes Bruna ◽  
Giovana Abrahão de Araújo Moriya ◽  
Alessandra Navarini ◽  
Suzethe Matiko Sasagawa ◽  
...  
Keyword(s):  
Air Quality ◽  
Negative Pressure ◽  
Pressure System

scholarly journals Robotic rectosigmoidectomy: pioneer case report in Brazil. Current scene in colorectal robotic surgery

2010 ◽  
Vol 47 (1) ◽  
pp. 116-118 ◽  
Author(s):  
Marcelo Averbach ◽  
Pedro Popoutchi ◽  
Oswaldo Wiliam Marques Jr ◽  
Ricardo Z Abdalla ◽  
Sérgio Podgaec ◽  
...  
Keyword(s):  
Robotic Surgery ◽  
Colorectal Surgery ◽  
Colorectal Resection ◽  
Deep Infiltrating Endometriosis ◽  
Brazil Current ◽  
Current Series ◽  
Robotic Colorectal Surgery ◽  
Rectal Involvement ◽  
Surgical Device ◽  
Standard Laparoscopic Surgery

Laparoscopic colorectal surgery is believed to be technically and oncologically feasible. Robotic surgery is an attractive mode in performing minimally-invasive surgery once it has several advantages if compared to standard laparoscopic surgery. The aim of this paper is to report the first known case of colorectal resection surgery using the robotic assisted surgical device in Brazil. A 35-year-old woman with deep infiltrating endometriosis with rectal involvement was referred for colorectal resection using da Vinci® surgical system. The authors also reviewed the most current series and discussed not only the safety and feasibility but also the real benefits of robotic colorectal surgery

An Innovative Intracystic Negative Pressure System to Treat Odontogenic Cysts

2017 ◽  
Vol 28 (7) ◽  
pp. 1883-1884 ◽  
Author(s):  
Jaime Castro-Núñez ◽  
David Rey ◽  
Lyda Amaya
Keyword(s):  
Negative Pressure ◽  
Odontogenic Cysts ◽  
Pressure System

scholarly journals Application of the damage control principles and the use of a local negative pressure system for the prevention of infectious complications in a patient with traumatic separation of the upper limb and massive damage to soft tissues

2020 ◽  
Vol 6 (4) ◽  
pp. 22-25
Author(s):  
I. M. Batyrshin ◽  
M. I. Kizyavka ◽  
D. S. Sklizkov ◽  
Yu. S. Ostroumova ◽  
E. P. Mikhelson ◽  
...  
Keyword(s):  
Upper Limb ◽  
Successful Treatment ◽  
Negative Pressure ◽  
Clinical Case ◽  
Soft Tissues ◽  
Damage Control ◽  
Infectious Complications ◽  
Pressure System

The article presents a clinical case of the successful treatment of a patient with traumatic separation of the upper limb and massive damage to the soft tissues of the upper shoulder and chest. The effectiveness of applying the damage control principles and the method of local negative pressure for the prevention of local and systemic infectious complications is emphasized.

Research on Negative Pressure Control Technology in NPP Reactor Building and its Application

2013 ◽  
Author(s):  
Jianghong Xie
Keyword(s):  
Power Unit ◽  
Negative Pressure ◽  
Nuclear Power ◽  
Pressure Control ◽  
Control Technology ◽  
Annular Space ◽  
Pressure System ◽  
Nuclear Power Unit ◽  
Reactor Building ◽  
Double Wall

The paper mainly elaborates the negative pressure control technology and commissioning approaches for double-wall containment of Russian WWER-1000 nuclear power units. It also carries out an analysis and research on the layered negative pressure technology in the containment. It mainly includes the following three parts: A Russian WWER-1000 nuclear power unit adopts the structure of double-wall containment for its Reactor building, with independent negative pressure systems for the containment and the annular space between the two walls. The paper mainly elaborates the control methods and limits requirements for the negative pressure in the containment and the annular space under the normal operation condition and in case of design basis accidents, with analysis and argumentation on the design function and operation requirements of the negative pressure system for the containment and the annular space. In the paper, the design philosophy of layered negative pressure and its feasibility study are analyzed from the aspects of radiated partition, air distribution of the negative pressure system and containment separator for layered negative pressure. The commissioning methods and technical requirements of negative pressure system in the Reactor building are described in the paper. Problems encountered during commissioning are also addressed and analyzed. Operations practices prove that the negative pressure control technology for double-wall containment of WWER-1000 nuclear power unit is advanced and reliable, which meets the requirements on nuclear air decontamination emission and radiation protection, and is worthy of study, research and reference.

scholarly journals Predictive Factors of Ventilator Dependency after Colon and Rectal Surgery

2015 ◽  
Vol 81 (11) ◽  
pp. 1107-1113 ◽  
Author(s):  
Zhobin Moghadamyeghaneh ◽  
Grace Hwang ◽  
Mark H. Hanna ◽  
Joseph C. Carmichael ◽  
Steven D. Mills ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Serum Albumin ◽  
Predictive Factors ◽  
Colorectal Resection ◽  
Serum Albumin Level ◽  
Albumin Level ◽  
Complication Rates ◽  
Colon And Rectal Surgery ◽  
Improvement Program ◽  
American Society

There is limited data analyzing ventilator dependency by operative diagnoses and types of the procedures performed in colorectal surgery. We sought to identify predictive factors of ventilator dependency in colorectal surgery and investigate complication rates across various colorectal procedures. The National Surgical Quality Improvement Program database was used to examine the clinical data of patients with ventilator dependency for more than 48 hours after colorectal resection during 2005–2013. Multivariate regression analysis was performed to identify predictors of ventilator dependency. A total of 219,716 patients who underwent colorectal resection were identified. The rate of ventilator dependency was 3.9 per cent. The rate varied significantly based on patient diagnosis; with the highest rate seen in patients with acute mesenteric ischemia (25.9%). The highest risk of ventilator dependency according to the patients indication of surgery, type of the procedure, and preoperative factors exist in lower gastrointestinal bleeding [adjusted odds ratio (AOR): 77.44, P < 0.01], total colectomy (AOR: 1.58, P = 0.04), and American Society of Anesthesiologists classification of three or greater (AOR: 2.52, P < 0.01). Also, serum albumin level (AOR: 0.67, P < 0.01) seems to be associated with ventilator dependency. The overall rate of ventilator dependency is 3.9 per cent in colorectal surgery. However, depending on the indication for surgery, rates can be as high as 25.9 per cent. American Society of Anesthesiologist score can predict the risk of postoperative ventilator dependency in patients undergoing colorectal surgery. Serum albumin level is reversely associated with postoperative ventilator dependency.

Tu2054 A NATIONWIDE STUDY OF OUTCOME OF NEGATIVE PRESSURE WOUND TREATMENT IN COLORECTAL SURGERY

2020 ◽  
Vol 158 (6) ◽  
pp. S-1601-S-1602
Author(s):  
Zhobin Moghadamyeghaneh ◽  
Michael J. Stamos ◽  
Henry Talus ◽  
Lisa Dresner
Keyword(s):  
Colorectal Surgery ◽  
Negative Pressure ◽  
Wound Treatment ◽  
Nationwide Study
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