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A Novel Wound Retractor Combining Continuous Irrigation and Barrier Protection Reduces Incisional Contamination in

Harry T Papaconstantinou1, Rocco Ricciardi2,3, David A Margolin4

  • 1Department of Surgery, Baylor Scott & White Healthcare, Texas A&M University College of Medicine, 2401 South 31st Street, Temple, TX, USA. Harry.Papaconstantinou@bswhealth.org.

World Journal of Surgery
|March 11, 2018
PubMed
Abstract

Insights

A novel wound retractor significantly reduced bacterial contamination during colorectal surgery, lowering infection rates. This device offers a promising strategy for preventing surgical site infections (SSIs).

Area of Science:

  • Surgical Innovation
  • Infection Control
  • Colorectal Surgery

Background:

  • Surgical site infection (SSI) is a significant complication in colorectal surgery.
  • Intraoperative bacterial contamination is a key factor in SSI pathogenesis.
  • Effective strategies to reduce contamination are crucial for patient outcomes.

Purpose of the Study:

  • To evaluate a novel wound retractor designed to minimize bacterial contamination.
  • To assess the efficacy of continuous irrigation and barrier protection in reducing microbial load at the surgical site.

Main Methods:

  • A prospective, multicenter pilot study involving patients undergoing elective colorectal resections.
  • Collection of culture swabs from incision edges before and after device use.
  • Comparison of bacterial contamination rates between exposed and protected incision edges.

Main Results:

  • The novel retractor demonstrated a 66% reduction in overall bacterial contamination and a 71% reduction in enteric bacterial contamination.
  • The incisional SSI rate was low, with 2.3% in the primary analysis and 1.2% in protocol completers.
  • No serious adverse events were attributed to the device, indicating good safety.

Conclusions:

  • The novel wound retractor effectively reduces bacterial contamination during colorectal surgery.
  • This device represents a promising advancement in surgical site infection prevention strategies.
  • Further investigation into improved wound contamination countermeasures is warranted.

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