Bacterial Adherence Around Sutures of Different Material at Grafted Site: A Microbiological Analysis

Mahesh, Lanka; Kumar, Varun Raj; Jain, Abhishek; Shukla, Sagrika; Aragoneses, Juan Manuel; González, José María Martínez; Fernández‐Domínguez, Manuel; Calvo-Guirado, José Luís

doi:10.3390/ma12182848

Cited by 37 publications

(28 citation statements)

References 18 publications

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“…Using our modi ed technique, the site of the deep of the muscle layer and the closure of the adipose layers overlap. In addition, the use of the unidirectional intradermal barbed suture [10,11] allows us to suture the skin closure tightly around the chest tube at the end of the operation. This technique decreases extravasation of uid and air leakage around the chest tube.…”

Section: Resultsmentioning

confidence: 99%

Modified technique of closing the port site after multiport thoracoscopic surgery using the shingled suture technique: a single centre experience

Hui

Ren

She

et al. 2020

Preprint

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Background: Due to improvements in operative techniques and medical equipment, video-assisted thoracoscopic surgery has become a mainstay of thoracic surgery. Nevertheless, in multiport thoracoscopic surgery,there have been no substantive improvements in how to improve the aesthetics of the site of the chest tube left for postoperative drainage of intrathoracic fluid and decompression of air leak after the thoracoscopic surgery. Leakage of fluid and air around the site of the chest tube can be extremely bothersome to the patient. Methods: From March 2019 to April 2020, we used modified technique of closing the port site in 67 patients and traditional method in 51 patients who underwent multiport thoracoscopic surgery due to lung disease or mediastinal disease. With our modified technique, the muscle and fat layers are sutured separately and a removal-free, absorbable, continuous intradermal suture is used for the skin closure to assure both a tight closure and a better aesthetic appearance. The traditional method of fixation of the chest tube use two sutures to close the skin on each side of the chest tube.Results: The chest tubes were removed 2–13 days after the thoracoscopic procedure. In the modified technique group,one patients (1.49%) had fluid extravasation, which was better than five patients (9.80%) in the traditional method group (P<0.05).There were no significant differences in subcutaneous emphysema and wound dehiscenc between the two groups.However,the incidence of subcutaneous emphysema and wound dehiscenc in the modified technique group were lower than in the traditional method group.There were no post-removal pneumothorax and wound infection in either groups.Conclusions: This modified technique of port site closure is a leak-proof method of fixation of the chest tube after multiport thoracoscopic surgery and effective with aesthetic appearance of the skin.

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Section: Resultsmentioning

confidence: 99%

Modified technique of closing the port site after multiport thoracoscopic surgery using the shingled suture technique: a single centre experience

Hui

Ren

She

et al. 2020

Preprint

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“…Increased numbers of suture material also increase the chance of infection and adhesion [ 19 ]. The suture martial was much reduced in our new technique.…”

Section: Discussionmentioning

confidence: 99%

Strategies for the Long-Term Preservation of Site for Future Implantation of Cardiac Implantable Electronic Devices (CIEDs): Two Decades of Experience

Shah¹,

Saidullah²,

Niaz³

et al. 2022

Cureus

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IntroductionImplantation of cardiac implantable electronic devices (CIEDs) is an art of science. As the volume of implantation has increased worldwide, so has the rate of complications. Infection, fibrosis, lead and device erosion, lead displacement, right ventricle perforation, lead fracture, and insulation break are the common complications in the implantation process. This exposes the patient for reopening and threatens the implantation for further complication due to infection, fibrosis of veins, failure to retrieve the implanted wire, and failure to re-implant the device on the same site. We slightly changed our implantation technique to preserve the implantation site for future implantation and reduce the rate of complication in the index implantation. MethodsThis randomized control trial was conducted from January 2016 to September 2019 at Hayatabad Medical Complex Peshawar, Pakistan. A consecutive sampling technique was used to obtain a sample size of 602 patients keeping a 95% confidence interval and a 5% margin error. We adopted a strategy to take prick, for implantation of devices, inside the pocket, which reduces the number of sutures, hastens the procedure, prevents erosion, and minimizes the chance of subclavian crush syndrome and insulation break. We also selected the minimum possible length of leads. This will possibly decrease the chances of cumbersome fibrosis around the lead and device and will make future implantation convenient. ResultsThere was a total of 602 procedures in the study period. About 253 (42%) procedures were done in the newly adopted strategy and 349 (58%) were performed in the conventional way. Our complication rate grossly reduces in the novel way of implantation in which we took our prick inside the pocket. ConclusionA slight modification in the implantation of CIEDs not only prevents the rate of complication in the index implantation but will also possibly preserve the site for future implantation.

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“…There is no soft tissue growth in the gap between the connector and the spacer, and the gap between the spacer and the pedicle screw during spinal flexion and extension activities might be where bacteria colonize. At the same time, the braided suture of the connector has greater bacterial adhesion, which might increase the likelihood of infection [ 24 ]. Goldstein et al [ 20 ] postulated that intraoperative bacteria entered the surgical site, and the spacer acted as a medium for bacteria.…”

Section: Discussionmentioning

confidence: 99%

Postoperative Management Strategy of Surgical Site Infection following Lumbar Dynesys Dynamic Internal Fixation

Liu

Luo

Zhao

et al. 2021

Pain Research and Management

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Aim. To research the incidence of surgical site infection (SSI) following lumbar Dynesys dynamic internal fixation and its management strategy. Methods. We retrospectively analyzed all cases of lumbar Dynesys dynamic internal fixation performed from January 2010 to December 2019, and the data from patients with SSI were collected. The observational indicators included the incidence of SSI, general information of the patients, surgical details, inflammatory indicators, pathogenic bacteria, and treatment. SSI was defined as both early infection and delayed infection, and the cases were divided into Groups A and B, respectively. The relevant indicators and treatment were compared between the two groups. Results. A total of 1125 cases of lumbar Dynesys dynamic internal fixation were followed up. Twenty-five cases of SSI occurred, and the incidence of SSI was 2.22% (25/1125). There were 14 cases of early infection (1.24%) and 11 cases of delayed infection (0.98%). Fourteen cases of early infection occurred 12.3 ± 8.3 days postoperatively (3–30), and 11 cases of delayed infection occurred 33.3 ± 18.9 months postoperatively (3–62). The inflammatory indicators of Group A were significantly higher than those of Group B (all P < 0.05 ), except for procalcitonin. The main infection site in Group A was located on the skin and subcutaneous tissue and around the internal instrument, while the main infection site in Group B was around the internal instrument. The main treatment for Group A was debridement and implant replacement, and the main treatment for Group B was implant removal. Summary. The incidence of SSI following lumbar Dynesys dynamic internal fixation was 2.22%, the incidence of early SSI was 1.24%, and the incidence of delayed SSI was 0.98%. If the main infection site of early infection is in the incision, debridement should be the main treatment method; if the infection site is around the internal fixation, implant replacement is recommended on the basis of debridement. Once delayed infection is diagnosed, implant removal is suggested.

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Bacterial Adherence Around Sutures of Different Material at Grafted Site: A Microbiological Analysis

Cited by 37 publications

References 18 publications

Modified technique of closing the port site after multiport thoracoscopic surgery using the shingled suture technique: a single centre experience

Modified technique of closing the port site after multiport thoracoscopic surgery using the shingled suture technique: a single centre experience

Strategies for the Long-Term Preservation of Site for Future Implantation of Cardiac Implantable Electronic Devices (CIEDs): Two Decades of Experience

Postoperative Management Strategy of Surgical Site Infection following Lumbar Dynesys Dynamic Internal Fixation

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