Surgical wound irrigation: A call for evidence-based standardization of practice

Barnes, Sue; Spencer, Maureen; Graham, Denise; Johnson, Helen Boehm

doi:10.1016/j.ajic.2014.01.012

Cited by 132 publications

(93 citation statements)

References 32 publications

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“…The incidence of SSIs in brain tumor surgery, including benign and malignant tumors, ranges from 2.04 to 5.3%. 2–5) Chaichana et al reported that the incidence of SSIs in glioblastoma resection surgery was 5%. 6) …”

Section: Introductionmentioning

confidence: 99%

Surgical Site Infection after Malignant Brain Tumor Resection: A Multicenter Study for Induction of a Basic Care Bundle

Uzuka

Takahashi

Nakasu

et al. 2017

Neurol. Med. Chir.(Tokyo)

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Patients with malignant brain tumors are possibly at increased risk for surgical site infections (SSIs) considering the various medical situations associated with the disease. However, the actual rate of SSI after malignant brain tumor resection has not been well established, despite the potential impact of SSI on patient outcome. To investigate the incidence of SSI following malignant brain tumor surgery, we performed a retrospective study in 3 neurosurgical units. Subsequently, aiming at the reduction of incidence of SSI, we performed a prospective study using a care bundle technique in the same units. The SSI incidence in the retrospective (n = 161) and prospective studies (n = 68) were 4.3% and 4.4%, respectively, similar to the previously reports on general craniotomies. A care bundle does not appear to enhance prevention of SSI. However, future, large studies with a new care bundle should be planned based on a zero tolerance policy.

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Section: Introductionmentioning

confidence: 99%

Surgical Site Infection after Malignant Brain Tumor Resection: A Multicenter Study for Induction of a Basic Care Bundle

Uzuka

Takahashi

Nakasu

et al. 2017

Neurol. Med. Chir.(Tokyo)

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“…[4][5][6][7][8][9][10][11][12][13] High pressure may be more effective than low pressure in removing particulate matter and bacteria 7-10 but at the expense of bone damage 8,11 and a resultant delay in bone healing. [4][5][6][7][8][9][10][11][12][13] High pressure may be more effective than low pressure in removing particulate matter and bacteria 7-10 but at the expense of bone damage 8,11 and a resultant delay in bone healing.…”

mentioning

confidence: 99%

A Trial of Wound Irrigation in the Initial Management of Open Fracture Wounds

2015

N Engl J Med

251

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“…However, further studies still will be needed to confirm whether local lavage can help prevent an infection. [24] Taken together, we deem that the local lavage actually does well to the functional recovery after lumber discectomy of disc herniation.…”

Section: Discussionmentioning

confidence: 83%

Does local lavage influence functional recovery during lumber discectomy of disc herniation?

Zhu

Ren²,

Yuan³

et al. 2016

Medicine

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Lumbar disc herniation (LDH) is a common disease and lumbar discectomy is the most common surgical procedure carried out for patients with low back pain and leg symptoms. Although most researchers are focusing on the surgical techniques during operation, the aim of this study is to evaluate the effect of local intervertebral lavage during microdiscectomy.In this retrospective study, 410 patients were operated on by microdiscectomy for LDH during 2011 to 2014. Retrospectively, 213 of them (group A) accepted local intervertebral irrigation with saline water before wound closure and 197 patients (group B) only had their operative field irrigated with saline water. Systematic records of visual analog scores (VAS), Oswestry disability Index (ODI) questionnaire scale scores, use of analgesia, and hospital length of stay were done after hospitalization.The majority (80.49%) of the cases were diagnosed with lumber herniation at the levels of L4/5 and L5/S1. Fifty-one patients had herniations at 2 levels. There were significant decreases of VAS scores and ODI in both groups between preoperation and postoperation of different time points. VAS scores decreased more in group A than group B at early stage of postoperation follow-up. However, there were no statistically significant differences between 2 groups in using analgesia, VAS and ODI up to 1 month of follow-up.Microdiscectomy for LDH offers a marked improvement in back and radicular pain. Local irrigation of herniated lumber disc area could relief dick herniation-derived low back pain and leg radicular pain at early stage of post-operation. However, the pain relief of this intervention was not noticeable for a long period.

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Surgical wound irrigation: A call for evidence-based standardization of practice

Cited by 132 publications

References 32 publications

Surgical Site Infection after Malignant Brain Tumor Resection: A Multicenter Study for Induction of a Basic Care Bundle

Surgical Site Infection after Malignant Brain Tumor Resection: A Multicenter Study for Induction of a Basic Care Bundle

A Trial of Wound Irrigation in the Initial Management of Open Fracture Wounds

Does local lavage influence functional recovery during lumber discectomy of disc herniation?

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