The impact of minimally invasive surgical approaches on surgical-site infections

Stephanie F Sweitzer1, Emily E Sickbert-Bennett1,2, Jessica Seidelman3

  • 1Division of Infectious Diseases, Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

Insights

Minimally invasive surgery (MIS) shows lower surgical-site infection (SSI) rates compared to open surgery. While evidence is largely observational, MIS offers a reduced infection risk and should be considered when possible.

Area of Science:

  • Surgical Innovation
  • Infectious Disease Epidemiology

Background:

  • Surgical-site infections (SSIs) are a significant complication following surgical procedures.
  • Comparing infection risks between minimally invasive surgery (MIS) and traditional open surgery is crucial for patient outcomes.

Approach:

  • A comprehensive literature review was conducted to evaluate SSI rates in MIS versus open surgery.
  • Analysis focused on identifying trends and potential biases in existing studies.

Key Points:

  • The majority of reviewed studies indicated lower SSI rates in patients who underwent MIS compared to open surgery.
  • Observational study designs were common, raising concerns about potential selection bias influencing reported outcomes.
  • MIS demonstrates a potential benefit in reducing the incidence of surgical-site infections.

Conclusions:

  • Minimally invasive surgery is associated with a reduced risk of surgical-site infection when compared to standard open procedures.
  • The findings support the consideration of MIS as a preferred surgical approach where clinically feasible to minimize infection risk.

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