Difficult Infected Wound After Colorectal Surgery

Rathore, Prem

doi:10.5772/39229

Cited by 2 publications

(3 citation statements)

References 9 publications

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“…Various risk factors associated with incision healing complications in colorectal surgery patients include diabetes, obesity, immunosuppressant use, cardiovascular disease, smoking, cancer, previous surgery, malnutrition, and previous irradiation. 9 Advanced age and high intraoperative blood loss are also factors. 10 Published meta-analyses have reported positive clinical benefits of using closed-incision negative-pressure therapy (ciNPT) over a variety of incision types, including colorectal incisions, for patients at elevated risk of SSI.…”

Section: Introductionmentioning

confidence: 99%

“…In addition to care measures, certain risk factors are known to impact SSI and dehiscence. Various risk factors associated with incision healing complications in colorectal surgery patients include diabetes, obesity, immunosuppressant use, cardiovascular disease, smoking, cancer, previous surgery, malnutrition, and previous irradiation 9 . Advanced age and high intraoperative blood loss are also factors 10 …”

Section: Introductionmentioning

confidence: 99%

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Surgical Wound Complications after Colorectal Surgery with Single-Use Negative-Pressure Wound Therapy Versus Surgical Dressing over Closed Incisions: A Randomized Controlled Trial

Arellano

Serrano

Guedea

et al. 2021

Adv Skin Wound Care

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BACKGROUND Global studies indicate that surgical site infections (SSIs) are a major healthcare challenge within hospitals and can have a profound impact on patient quality of life and healthcare costs. Closed-incision negative-pressure therapy (ciNPT) has been reported to provide positive clinical benefits for patients with various incisions, including those following colorectal surgeries. METHODS Investigators performed a prospective, randomized, multicenter trial to evaluate complications of surgical incisions in patients who received a ciNPT dressing versus a conventional surgical dressing (control) over their closed incision following colorectal surgery. The incidence of SSI was determined at 7, 15, and 30 days postsurgery. RESULTS A total of 148 patients participated in the study. Results showed that the SSI rate on day 7 was lower in the ciNPT group versus the control group (10/75 [13.3%] vs 17/73 [23.3%]), but this difference was not statistically significant. On day 15, the SSI rate was 12/75 (16.0%) in the ciNPT group versus 21/73 (28.8%) in the control group; however, this difference was only marginally statistically significant (P = .0621). At 1 month, the SSI rate remained lower in the ciNPT group (13/75 [17.3%] vs 21/73 [28.8%], P = .0983) compared with the control group. CONCLUSIONS Future studies with larger population sizes are necessary to determine the impact of ciNPT on patients’ incisions after colorectal surgery.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Surgical Wound Complications after Colorectal Surgery with Single-Use Negative-Pressure Wound Therapy Versus Surgical Dressing over Closed Incisions: A Randomized Controlled Trial

Arellano

Serrano

Guedea

et al. 2021

Adv Skin Wound Care

View full text Add to dashboard Cite

show abstract

“…Infected wounds and trophic ulcers are among the major problems in surgical treatment that present special difficulty [1][2][3][4][5]. During the last decades, there are number of successes in solving problems in this aspect of surgery [4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%