Efficacy of Ring Drape and Unused Sterile Instruments for Incisional SSI After Hepatectomy.

Abstract

BACKGROUND/AIM:

The aim of this study was to verify the efficacy of wound protection with a plastic ring wound protector (ring drape) and using new sterile instruments when closing the abdominal wall (wound closure set), both of which were used to prevent incisional surgical site infection (SSI) after hepatectomy.

PATIENTS AND METHODS:

The incidence of incisional SSIs and the clinical courses of 572 patients who underwent hepatectomy between January 2010 and December 2015 were studied retrospectively. The patients were divided into three period groups according to the period when each infection countermeasure was started.

RESULTS:

Incisional SSI incidence decreased significantly with additional countermeasures: 1st period 10.1%; 2nd period 2.08% (p=0.0114); 3rd period, 1.63% (1st vs. 3rd period, p=0.0016). A multivariate analysis showed that postoperative bile leakage [odds ratio (OR)=4.12, p=0.012] and not using a ring drape (OR=0.176, p=0.003) were independent factors for incisional SSI.

CONCLUSION:

Incisional SSI incidence was significantly reduced by using ring drape after hepatectomy.

• Authors: Toshihiko Yusa, Yo-Ichi Yamashita, Hidetoshi Nitta, Yosuke Nakao, Rumi Itoyama, Yuki Kitano, Takayoshi Kaida, Tatsunori Miyata, Kosuke Mima, Katsunori Imai, Hiromitsu Hayashi, Hideo Baba
• Journal: Anticancer research (Anticancer Res) Vol. 42 Issue 2 Pg. 1007-1012 (Feb 2022) ISSN: 1791-7530 [Electronic] Greece
• PMID: 35093901 (Publication Type: Historical Article, Journal Article)
• Copyright: Copyright © 2022 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

Topics

• Aged
• Disinfection
• Female
• Hepatectomy (adverse effects, instrumentation, methods)
• History, 21st Century
• Humans
• Incidence
• Japan (epidemiology)
• Male
• Middle Aged
• Retrospective Studies
• Risk Factors
• Surgical Drapes
• Surgical Equipment (adverse effects, standards)
• Surgical Wound (microbiology, pathology)
• Surgical Wound Infection (epidemiology, etiology, prevention & control)
• Treatment Outcome
• Wound Closure Techniques (adverse effects, instrumentation)