经过修改的囊串性静脉关闭后的传染性并发症
Scarlett B Hao1, Lindsey Bridges2, Michael D Honaker1
1Department of Surgery, Division of Surgical Oncology, East Carolina University Brody School of Medicine, Greenville, NC, USA.
The American surgeon
|September 21, 2024
概括
在一个研究队列中,一种新的技术使用在口腔逆转手术期间浸泡在povidone-iodine的片消除了手术部位感染 (SSI). 这种辅助方法需要进一步调查,以减少SSI风险和患者的发病率.
科学领域:
- 手术创新 在外科创新.
- 预防传染病 预防传染病
- 胃肠道手术 胃肠道手术
背景情况:
- 目前的口腔阻塞逆转指南建议关闭囊串,这可以减少但不能消除深部手术部位感染 (SSI) 的风险.
- 胃口逆转后的深部手术部位感染 (SSI) 会增加患者的发病率和医疗费用.
- 研究了一种辅助技术,以进一步降低静脉阻塞逆转后的SSI风险.
研究的目的:
- 评价辅助技术在减少静脉逆后深部手术部位感染 (SSI) 的发生率方面的有效性.
- 评估使用波维-浸泡片作为用于口腔逆转的囊串关闭的辅助工具的安全性和可行性.
主要方法:
- 在2016年5月至2022年7月期间,成年患者进行了静脉静脉逆转术的回顾性图表审查.
- 胃口逆转使用袋绳关闭,在胃口部位放置了一块浸泡在波维和中的无粘合.
- 在手术后的第一天取出了子,随后进行了湿到干的盐溶液子敷料更换.
主要成果:
- 包括82名患者,他们的BMI中位数为26.5,平均年龄为57.5岁.
- 该队列经历了11.0%的再入院率和18.3%的静脉位 rate.
- 在研究队列中,没有患者患上术后手术部位感染 (SSI).
结论:
- 在口腔逆转过程中使用波维-浸泡的辅助技术在这个队列中与零的术后SSI有关.
- 这种方法,结合囊串关闭,显示出降低SSI风险和与静脉栓逆转相关的整体发病率的希望.
- 建议在外科手术包中进行进一步的检查,以验证这种技术是否适用于常规使用.
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