Contemporary Review to Reduce Groin Surgical Site Infections in Vascular Surgery

Rasheed, Haroon; Diab, Kaled; Singh, Tarundeep; Chauhan, Yusuf; Haddad, Paul; Zubair, M. Mujeeb; Vowels, Travis J.; Androas, Edward; Rojo, Manuel; Auyang, Phillip; McFall, Ross G.; Gómez, Luis O.; Mohamed, Ahmed Sh.; Peden, Eric K.; Rahimi, Maham

doi:10.1016/j.avsg.2020.09.046

Cited by 8 publications

(2 citation statements)

References 104 publications

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“…Moreover, significantly decreased hospital stays were observed between groups. Other smaller studies have produced similar results [ 37 , 50 ], but larger multi-center RCTs are required to validate these observations.…”

Section: Intraoperative Use Of Local Antibioticsmentioning

confidence: 61%

Groin Surgical Site Infection in Vascular Surgery: Systemic Review on Peri-Operative Antibiotic Prophylaxis

Amato¹,

Compagna

Vivo

et al. 2022

Antibiotics

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Objectives: Surgical site infections (SSIs) in lower extremity vascular surgeries, post-groin incision, are not only common complications and significant contributors to patient mortality and morbidity, but also major financial burdens on healthcare systems and patients. In spite of recent advances in pre- and post-operative care, SSI rates in the vascular surgery field remain significant. However, compliant antibiotic therapy can successfully reduce the SSI incidence pre- and post-surgery. Methods: In October 2021, we conducted a systematic literature review using OVID, PubMed, and EMBASE databases, centered on studies published between January 1980 and December 2020. The review adhered to the Preferred Reporting Items for Systematic Reviews and Meta Analyses checklist. Inclusion/exclusion criteria have been carefully selected and reported in the text. For analyses, we calculated 95% confidence intervals (CI) and weighted odds ratios to amalgamate control and study groups in publications. We applied The Cochrane Collaboration tool to assess bias risk in selected studies. Results: In total, 592 articles were identified. After the removal of duplicates and excluded studies, 36 full-texts were included for review. Conclusions: The review confirmed that antibiotic therapy, administered according to all peri-operative protocols described, is useful in reducing groin SSI rate in vascular surgery.

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Section: Intraoperative Use Of Local Antibioticsmentioning

confidence: 61%

Groin Surgical Site Infection in Vascular Surgery: Systemic Review on Peri-Operative Antibiotic Prophylaxis

Amato¹,

Compagna

Vivo

et al. 2022

Antibiotics

View full text Add to dashboard Cite

show abstract

“…This association is attributed to the disparity in skin oxygenation between the medial and lateral sides of the vertical incision. Oblique incisions also run along Langer’s lines, which, in theory, reduces skin tension on the incision [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Role of Prophylactic Sartorius Flaps for Preventing Deep Space Infection in Lower Extremity Revascularization

Larson¹,

DiBello²,

Erz³

et al. 2022

Cureus

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Groin infections in vascular surgery are common and compromise the goal of limb preservation. Strategies to prevent deep space infection (DSI) include incision orientation and muscle flaps. Literature evaluating prophylactic flaps preventing DSI is scarce. We aimed to compare prophylactic sartorius flaps to layered closure in preventing readmission for DSI, along with the effect of incision orientation. This was a retrospective study of vascular surgery patients at a single institution with femoral artery exposure from 2017-2021. Patients with active groin infections were excluded. Prophylactic sartorius flaps were compared to those with layered closure regarding 30-day hospital readmission for DSI. Oblique versus vertical incisions was compared regarding the primary outcome. Fifty-three patients received sartorius flaps, and 122 received layered closure. Seventy patients had oblique incisions, and 105 patients had vertical incisions. Sartorius flaps had a higher rate of previous groin surgery compared to layered closure (45.3% vs. 24.7%, p<0.01). Vertical incisions had a higher rate of previous groin surgery (38.1% vs. 20.0%, p<0.02), while oblique incisions had a higher rate of obesity (24.3% vs. 8.6%, p<0.01). There was a lower rate of DSI in sartorius flaps compared to layered closure (1.9% vs. 6.6%, p=2.80), although not statistically significant due to lack of power. There was no difference in DSI in the oblique versus vertical incisions (4.3% and 5.7%, p=0.760). Patients with prophylactic sartorius flaps experienced fewer DSI, although further evaluation with increased sample size is required for adequate study power. We believe sartorius flaps are a simple solution to prevent groin complications.

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Rationaler Antibiotikaeinsatz in der Gefäßchirurgie

Lanckohr

2021

Gefässchirurgie

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Contemporary Review to Reduce Groin Surgical Site Infections in Vascular Surgery

Cited by 8 publications

References 104 publications

Groin Surgical Site Infection in Vascular Surgery: Systemic Review on Peri-Operative Antibiotic Prophylaxis

Groin Surgical Site Infection in Vascular Surgery: Systemic Review on Peri-Operative Antibiotic Prophylaxis

Role of Prophylactic Sartorius Flaps for Preventing Deep Space Infection in Lower Extremity Revascularization

Rationaler Antibiotikaeinsatz in der Gefäßchirurgie

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