Applying vacuum to accomplish reduced wound infections in laparoscopic pediatric surgery

Visser, Robin; Milbrandt, Kris; Min, Suyin Lum; Wiseman, Nathan E.; Hancock, B.J.; Morris, Mélanie; Keijzer, Richard

doi:10.1016/j.jpedsurg.2017.01.035

Cited by 12 publications

(2 citation statements)

References 40 publications

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“…27,28 More recently, attention has been given to the role of prophylactic negative pressure therapy for the prevention of wound infections in high-risk patients, although at this time there is insufficient evidence to justify its routine use in pediatric ostomy closure. [29][30][31] Given the significant morbidity and costs associated with SSI, concerted and systematic strategies to reduce SSI among children undergoing ostomy reversal are warranted.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Adverse Outcomes after Ostomy Reversal in Infants Less than Six Months Old

Kauffman

Danielson

Chandler

2019

The American Surgeon™

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The purpose of this study was to determine risk factors for 30-day complications, reoperation, and readmission after ostomy reversal in infants less than six months old. Infants aged two weeks to six months who underwent ostomy reversal were identified in the 2012 to 2016 ACS NSQIP Pediatric database. Demographics, comorbidities, and 30-day outcomes were assessed. Multivariable logistic regression was used to estimate the independent effects of clinical variables on risk of 30-day complications, reoperation, and readmission. Among 1021 infants, 163 (16%) suffered a 30-day complication. SSIs were the most common complication (5.7%), followed by unplanned reintubation (5.2%) and bleeding (3%). Mortality was 0.4 per cent. Dependence on nutritional support and hematologic disorders were independently associated with postoperative complications. Forty-five children (4.4%) required reoperation and 22 (2.2%) were readmitted for conditions related to the procedure. Younger age and preoperative dependence on oxygen or nutritional support were associated with increased length of stay. SSI, unplanned reintubation, and bleeding are the most frequent complications after ostomy takedown in infants less than six months old. Attention to risk factors predisposing to these complications, including dependence on nutritional support and hematologic disorders, may contribute to improved surgical outcomes.

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Section: Discussionmentioning

confidence: 99%

Risk Factors for Adverse Outcomes after Ostomy Reversal in Infants Less than Six Months Old

Kauffman

Danielson

Chandler

2019

The American Surgeon™

View full text Add to dashboard Cite

show abstract

“…The trial had to be stopped due to a high number of required patients to achieve sufficient power at an SSI rate of 3%. 23 Reports on side effects of NPWT are rare. Gomoll et al observed skin maceration when a standard vacuum-assisted closure (VAC) sponge (VAC; KCI, San Antonio, Texas, United States) was placed directly on the skin in combination with VAC therapy at a higher level than 125 mm Hg.…”

Section: Discussionmentioning

confidence: 99%