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International Journal of Colorectal Disease

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01-09-2011 | Original Article

Effects of subcutaneous drain for the prevention of incisional SSI in high-risk patients undergoing colorectal surgery

Authors: Takaaki Fujii, Yuichi Tabe, Reina Yajima, Satoru Yamaguchi, Soichi Tsutsumi, Takayuki Asao, Hiroyuki Kuwano

Published in: International Journal of Colorectal Disease | Issue 9/2011

Abstract

Introduction

We have previously demonstrated that the risk of incisional surgical site infection (SSI) increases with obesity and that the most useful predictor of incisional SSI is the thickness of subcutaneous fat. Based on this finding, we have recently attempted a closure technique in surgery for the obese in which a subcutaneous drain is inserted for the prevention of incisional SSI. The aim of this study was to assess the utility of a subcutaneous drain for preventing incisional SSI in patients undergoing colorectal surgery who are at high risk for incisional SSI.

Materials and methods

Seventy-nine patients who underwent colorectal resection with high risk for incisional SSI, including patients with obesity (thick subcutaneous fat tissue, >20 mm) and those undergoing emergency operations, were enrolled in this study. The clinical features of these cases with or without a subcutaneous drain were reviewed, and statistical analysis was performed.

Results

In these high-risk cases, the overall incidence of incisional SSI was 27.8%. The incidences of incisional SSI in these cases with or without a subcutaneous drain were 14.3% and 38.6%, respectively. Our results suggest that subcutaneous drains are effective for preventing incisional SSI in patients with thick subcutaneous fat in colorectal surgery.

Conclusion

Therefore, incisional SSI surveillance for obese patients should be performed separately, which should lead to a further reduction in incisional SSIs.

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Title: Effects of subcutaneous drain for the prevention of incisional SSI in high-risk patients undergoing colorectal surgery
Authors: Takaaki Fujii
Yuichi Tabe
Reina Yajima
Satoru Yamaguchi
Soichi Tsutsumi
Takayuki Asao
Hiroyuki Kuwano
Publication date: 01-09-2011
Publisher: Springer-Verlag
Published in: International Journal of Colorectal Disease / Issue 9/2011
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-011-1228-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Effects of subcutaneous drain for the prevention of incisional SSI in high-risk patients undergoing colorectal surgery

Abstract

Introduction

Materials and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusion

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