在结肠直肠外科手术中预防伤口感染的包裹:一篇评论
Jay Redan1,2, Caline McCarthy1, Caroline Baughn1
1University of Central Florida College of Medicine, Orlando, Florida.
Surgical technology international
|June 29, 2023
概括
新型手术敷料在结直肠手术后减少手术部位感染 (SSI) 方面表现有前途. 需要进一步的研究来评估成本效益和将其纳入标准实践,以实现最佳的伤口愈合.
科学领域:
- 手术感染预防 手术感染预防
- 伤口愈合技术 伤口愈合技术
- 结直肠外科手术的结果
背景情况:
- 结肠直肠外科手术有很高的手术部位感染率 (SSI).
- 手术后复原指南 (ERAS) 侧重于手术前和手术后的措施,以减少感染风险.
- 没有确定的指导方针存在于术后带以优化愈合和预防SSI.
研究的目的:
- 审查手术部位感染预防在结直肠外科手术中的各种带.
- 讨论关于创伤包裹新型应用的当前研究.
主要方法:
- 使用PubMed进行的文献综述.
- 关键词包括结直肠手术,SSI预防和各种类型的包裹 (例如,负压伤口治疗,含银,mupirocin, gentamicin,维生素E,).
主要成果:
- 五种预防被选为讨论:负压伤口治疗,含银,mupirocin,gentamicin-c海绵和维生素E/海绵.
- 与传统方法相比,这些替代包装显示出降低SSI率的潜力.
结论:
- 替代带显示显著的承诺,减少SSI后结肠直肠手术.
- 对成本效益分析和临床整合的进一步研究是必要的,以便广泛采用.
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