Risk factors for superficial surgical site infection after elective rectal cancer resection: a multivariate analysis of 8880 patients from the American College of Surgeons National Surgical Quality Improvement Program database

Association of the Addition of Oral Antibiotics to Mechanical Bowel Preparation for Left Colon and Rectal Cancer Resections With Reduction of Surgical Site Infections

“…The overall rate of SSIs in our study was 8% for patients who received oral antibiotics and MBP and is not only comparable to the results of the studies in which no bowel preparation was used but also encompasses the high-risk cases that have been traditionally associated with increased rates of SSIs. 26,27 Second, many of the data for bowel preparation studies come from large administrative databases that do not differentiate between cases of right colon resection and cases of left colon resection, and most surgeons use different bowel regimens depending on the site of resection. 8,9,11 Several studies have demonstrated a lower risk of SSIs for right colon resections compared with left colon and rectal resections 28,29 ; therefore, some surgeons advocate not using MBP for right colon resections.…”

Risk factors for surgical site infections in rectal cancer patients

“…The literature describes significantly higher incidences of SSI in patients with increased surgical risks according to ASA [3,[20][21][22]. Most of our subjects were ASA stage 3-4 risk at 120 (64.2%), where SSI occurred more frequently but differences were insignificant; 15.8% vs 11.9%.…”

“…Post-operative colorectal cancer patients, particularly for rectal cancer, are often vulnerable to complications; a very common type being SSI in patients where the surgery had been conducted within an infecteddirty site. Depending on the hospital and type of surgical procedure, complication rates in such patients vary from 9.6% to 76% [3][4][5][6][7].…”

Prophylactic closed‐incision negative‐pressure wound therapy is associated with decreased surgical site infection in high‐risk colorectal surgery laparotomy wounds

“…Patients at high risk for SSI were then selected for study. Patients were classified as high risk if they had one or more of the following factors: pre‐ or postoperative stoma, diabetes mellitus, obesity, preoperative steroid or immunosuppressant use and/or a contaminated/dirty wound . The risk of SSI was assessed using the validated SSI risk score devised by van Walraven and colleagues, which utilizes a combination of preoperative and operative parameters .…”