损害控制腹腔切除术对外科手术部位感染风险的影响,在出现肠道手术后
Maosong Ye1, Connor P Littlefield1, Linder Wendt2
1Carver College of Medicine, University of Iowa, Iowa City, IA.
Surgery
|July 6, 2024
概括
与初级关和皮肤关闭相比,损伤控制腹腔切除术和初级关闭与减少表面手术部位感染有关. 伤害控制腹腔切除术患者的手术数量没有影响感染风险.
科学领域:
- 一般外科 整体外科
- 传染病流行病学 传染病流行病学
背景情况:
- 损伤控制腹腔切除术是一种常见的外科手术技术.
- 与损伤控制腹腔切除术相关的手术部位感染 (SSI) 风险尚未得到充分证实.
- 损害控制腹腔切除术提供了增强腹腔内污染的潜力.
研究的目的:
- 调查不同类型的腹腔切除关闭与SSI风险之间的关联.
- 为了比较SSI风险的损伤控制腹腔切除术与初级形关闭和初级形和皮肤关闭.
主要方法:
- 对906名接受新兴肠道手术的患者进行了回顾性队列研究 (2006-2021年).
- 多变量分析确定了SSI风险因素.
- 拉巴切除术类型包括损伤控制,初级面膜和初级面膜和皮肤关闭.
主要成果:
- 损伤控制腹腔切除术和初级关闭与初级关和皮肤关闭相比,表面SSI风险明显较低 (分别为OR0.30,P=.008和OR0.09,P=.001).
- 关闭类型之间没有观察到器官空间SSI风险的显著差异.
- 较高的BMI增加了表面的SSI风险;脆弱性增加了器官空间SSI风险.
结论:
- 损伤控制腹腔切除术和初级形关闭减少了表面SSI风险,但与初级形和皮肤关闭相比,并没有降低器官空间SSI风险.
- 在损伤控制腹腔切除术中的手术数量没有影响SSI风险.
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