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Journal of Gastrointestinal Surgery
Published in: Journal of Gastrointestinal Surgery 8/2018

01-08-2018 | Original Article

Superficial Surgical Site Infection in Hepatobiliary-Pancreatic Surgery: Subcuticular Suture Versus Skin Staples

Authors: Koichi Tomita, Naokazu Chiba, Shigeto Ochiai, Kei Yokozuka, Takahiro Gunji, Kosuke Hikita, Yosuke Ozawa, Masaaki Okihara, Toru Sano, Rina Tsutsui, Motohide Shimazu, Shigeyuki Kawachi

Published in: Journal of Gastrointestinal Surgery | Issue 8/2018

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Abstract

Purpose

Postoperative superficial surgical site infection is a major complication in hepatobiliary-pancreatic surgery. We aimed to compare the efficacy of subcuticular sutures versus staples for skin closure in preventing superficial surgical site infection in hepatobiliary-pancreatic surgery.

Methods

Consecutive patients who underwent hepatobiliary-pancreatic surgery at our hospital from October 2006 to March 2011 and from April 2012 to March 2015 were reviewed retrospectively. Superficial surgical site infection incidence was evaluated in patients who received subcuticular sutures and those who received staples for skin closure. Propensity score matching analysis was used to adjust bias from confounding factors.

Results

A total of 691 patients were included. Patients with skin staple closures (n = 346) were compared with patients with subcuticular suture closures (n = 345). After a propensity score matching analysis, a significant difference in superficial surgical site infection incidence was found between the skin stapler group (11.3%) and subcuticular sutures group (2.6%). The same comparison was performed by a subgroup analysis and supported this finding in patients after hepatectomy without biliary reconstruction, pancreatoduodenectomy, or open laparotomy surgeries and in patients with body mass index < 25.

Conclusions

Subcuticular suturing after hepatobiliary-pancreatic surgery was more efficacious in reducing postoperative superficial surgical site infection incidence than staples for skin closure.
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Metadata
Title
Superficial Surgical Site Infection in Hepatobiliary-Pancreatic Surgery: Subcuticular Suture Versus Skin Staples
Authors
Koichi Tomita
Naokazu Chiba
Shigeto Ochiai
Kei Yokozuka
Takahiro Gunji
Kosuke Hikita
Yosuke Ozawa
Masaaki Okihara
Toru Sano
Rina Tsutsui
Motohide Shimazu
Shigeyuki Kawachi
Publication date
01-08-2018
Publisher
Springer US
Published in
Journal of Gastrointestinal Surgery / Issue 8/2018
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-018-3754-5

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