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International Journal of Colorectal Disease

Published in:

01-07-2015 | Original Article

Subcutaneous vacuum drains reduce surgical site infection after primary closure of defunctioning ileostomy

Authors: Hong-Da Pan, Lin Wang, Yi-Fan Peng, Ming Li, Yun-Feng Yao, Jun Zhao, Tian-Cheng Zhan, Chang-Zheng Du, Jin Gu

Published in: International Journal of Colorectal Disease | Issue 7/2015

Abstract

Purpose

Surgical site infection (SSI) is the most common complication after primary closure of defunctioning ileostomy. We use a subcutaneous vacuum drain (SVD) in our institution to prevent infection. This study aimed to analyze the risk factors of SSI and to assess the utility of an SVD for preventing SSI in patients undergoing primary closure of ileostomy.

Methods

Patients undergoing ileostomy closure in the Department of Colorectal Surgery, Peking University Cancer Hospital, from September 2006 to March 2013, were included in this study. The clinical features of these patients with or without a subcutaneous drain were reviewed, and the complication rate of SSI was analyzed. The primary endpoints were the incidence and risk factors of SSI, and the secondary endpoints were the rate of overall complications and their management.

Results

A total of 245 consecutive patients were enrolled in the study. The overall incidence of SSI was 8.6 %. Eighty-five (34.7 %) patients received placement of an SVD. The use of SVDs was associated with a significantly lower incidence of SSI compared with primary closure (PC) without an SVD (1.2 vs. 12.5 %, p = 0.001). Multivariate analyses showed that the presence of an SVD (odds ratio (OR) 0.063, p = 0.012), total operation time >90 min (OR 4.862, p = 0.002), and postoperative complications (OR 10.576, p < 0.001) were independent risk factors of SSI.

Conclusions

This study shows that an SVD is effective for reducing SSI in patients undergoing PC of ileostomy. Further randomized trials are required to confirm our findings and to compare SVDs with purse-string sutures.

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Title: Subcutaneous vacuum drains reduce surgical site infection after primary closure of defunctioning ileostomy
Authors: Hong-Da Pan
Lin Wang
Yi-Fan Peng
Ming Li
Yun-Feng Yao
Jun Zhao
Tian-Cheng Zhan
Chang-Zheng Du
Jin Gu
Publication date: 01-07-2015
Publisher: Springer Berlin Heidelberg
Published in: International Journal of Colorectal Disease / Issue 7/2015
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-015-2168-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Subcutaneous vacuum drains reduce surgical site infection after primary closure of defunctioning ileostomy

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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