Risk factors for surgical site infections in a free-standing outpatient setting

Hirsemann, Stefan; Sohr, Dorit; Gastmeier, Knud; Gastmeier, Petra

doi:10.1016/j.ajic.2004.09.006

Cited by 19 publications

(8 citation statements)

References 21 publications

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“…Wound complications usually occur in 3% to 10% of patients, 178,201 with reported wound infection rates as low as 1.5% and as high as 16%. [202][203][204] An RCT by Biswas et al 205 evaluated the efficacy of the duration of compression therapy in 300 postsurgical patients. The study found no benefit in wearing compression stockings for Ͼ1 week after uncomplicated HL/S of the GSV with respect to postoperative pain, number of complications, time to return to work, or patient satisfaction for up to 12 weeks after surgery.…”

Section: Results Of Open Venous Surgerymentioning

confidence: 99%

The care of patients with varicose veins and associated chronic venous diseases: Clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum

Gloviczki

Comerota²,

Dalsing

et al. 2011

Journal of Vascular Surgery

1,298

952

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The Society for Vascular Surgery (SVS) and the American Venous Forum (AVF) have developed clinical practice guidelines for the care of patients with varicose veins of the lower limbs and pelvis. The document also includes recommendations on the management of superficial and perforating vein incompetence in patients with associated, more advanced chronic venous diseases (CVDs), including edema, skin changes, or venous ulcers. Recommendations of the Venous Guideline Committee are based on the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system as strong (GRADE 1) if the benefits clearly outweigh the risks, burden, and costs. The suggestions are weak (GRADE 2) if the benefits are closely balanced with risks and burden. The level of available evidence to support the evaluation or treatment can be of high (A), medium (B), or low or very low (C) quality. The key recommendations of these guidelines are: We recommend that in patients with varicose veins or more severe CVD, a complete history and detailed physical examination are complemented by duplex ultrasound scanning of the deep and superficial veins (GRADE 1A). We recommend that the CEAP classification is used for patients with CVD (GRADE 1A) and that the revised Venous Clinical Severity Score is used to assess treatment outcome (GRADE 1B). We suggest compression therapy for patients with symptomatic varicose veins (GRADE 2C) but recommend against compression therapy as the primary treatment if the patient is a candidate for saphenous vein ablation (GRADE 1B). We recommend compression therapy as the primary treatment to aid healing of venous ulceration (GRADE 1B). To decrease the recurrence of venous ulcers, we recommend ablation of the incompetent superficial veins in addition to compression therapy (GRADE 1A). For treatment of the incompetent great saphenous vein (GSV), we recommend endovenous thermal ablation (radiofrequency or laser) rather than high ligation and inversion stripping of the saphenous vein to the level of the knee (GRADE 1B). We recommend phlebectomy or sclerotherapy to treat varicose tributaries (GRADE 1B) and suggest foam sclerotherapy as an option for the treatment of the incompetent saphenous vein (GRADE 2C). We recommend against selective treatment of perforating vein incompetence in patients with simple varicose veins (CEAP class C(2); GRADE 1B), but we suggest treatment of pathologic perforating veins (outward flow duration ≥500 ms, vein diameter ≥3.5 mm) located underneath healed or active ulcers (CEAP class C(5)-C(6); GRADE 2B). We suggest treatment of pelvic congestion syndrome and pelvic varices with coil embolization, plugs, or transcatheter sclerotherapy, used alone or together (GRADE 2B).

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Section: Results Of Open Venous Surgerymentioning

confidence: 99%

The care of patients with varicose veins and associated chronic venous diseases: Clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum

Gloviczki

Comerota²,

Dalsing

et al. 2011

Journal of Vascular Surgery

1,298

952

View full text Add to dashboard Cite

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“…Studies of all hernia repair types combined reported SSI rates between 0.5% 29 and 0.7%. 26 Rates of SSIs specific to inguinal hernia repair range from 1% [30][31][32][33] to 5%.…”

Section: Discussionmentioning

confidence: 96%

Surgical Site Infections Following Ambulatory Surgery Procedures

Owens

Barrett

Raetzman

et al. 2014

JAMA

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“…Earlier studies have not revealed a negative effect of general anesthesia on wound healing and infection processes. However, recent reports showed that general anesthesia may be a risk factor on the occurrence of SSI [27,28].…”

Section: Discussionmentioning

confidence: 98%