Risk Factors for Postoperative Infectious Complications in Noncolorectal Abdominal Surgery

Abstract

Hypothesis: Infectious complications are the main causes of postoperative morbidity in abdominal surgery. Identification of risk factors, which could be avoided in the perioperative period, may reduce the rate of postoperative infectious complications.Design: A database was established from 3 prospective, randomized, multicenter studies. Multivariate analysis was performed using nonconditional logistic regression expressed as an odds ratio (OR).

Perioperative Intravenous Glutamine Supplemetation in Major Abdominal Surgery for Cancer

“…This incidence of postoperative infections is closer to what observed in clean minor surgery 32,33 than after major GI operations. Our rate of infections is in line with other recent experiences 34,35 and anyway might be explained by the fact that we followed patients for 30-days postdischarge and this may intercept a large proportion of complications which were not clinically evident during the 10 days of hospitalization. Moreover, the patients included in those analyses were often nonhomogeneous for primary disease (cancer and benign disease together), types of surgery (vascular, abdominal, uro-genital), and baseline nutritional status.…”

Prevention of infectious complications after laparoscopic appendectomy for complicated acute appendicitis—the role of routine abdominal drainage

“…The first important result of this current study is the significantly increased overall complication rate in the patient group with routine drainage that is caused by [21,29]. Thus, the only proven advantage of the laparoscopic versus the open approach, i.e., the reduced wound infection rate, gambled away by routinely inserted drains [10].…”

“…Nevertheless, the role of this practice remains an ongoing matter of debate [17][18][19][20][21][22][23][24][25]. Routine drainage of the abdominal cavity after various types of surgical interventions has been a robust dogma in abdominal surgery for many decades.…”

Risk factors and long-term outcome for postoperative intra-abdominal infection after hepatectomy for hepatocellular carcinoma

“…[51,52] Specifically, Cruse and Foord documented that the risk of postoperative infection doubles with each additional hour of surgery. [53,54] Furthermore, the prevalence of postoperative infections increases significantly with duration of the surgical procedure: 6.3% for 1 hour, 12.2% for 1 to 2 hour, and 27.7% for >2 hour.…”