在紧急腹部手术中,初级伤口关闭后手术部位感染率低
Mathias Madsen1, Anders Peter Skovsen1, Mai-Britt Tolstrup1
1Surgical Department, Nordsjællands Hospital, Hillerød, Denmark.
ANZ journal of surgery
|December 22, 2025
概括
具有初级伤口关闭和标准带的紧急腹部手术具有较低的手术部位感染 (SSI) 率. 关键的SSI风险因素包括肥胖,腹膜炎,口腔形成和开放性腹腔切除术.
科学领域:
- 手术 手术 手术
- 传染病流行病学 传染病流行病学
背景情况:
- 手术部位感染 (SSI) 是紧急腹部手术后的常见并发症.
- 先进的捆绑护理策略旨在减轻手术并发症.
- 用标准带关闭初级伤口是一种常见的做法.
研究的目的:
- 在紧急腹部手术中使用初级伤口关闭和普通带在先进的捆绑护理环境中确定SSI率.
- 为了确定有助于SSI发展的重大风险因素,在这个患者队列中.
主要方法:
- 对772名接受紧急腹部手术的患者进行了回顾性分析.
- 来自丹麦哥本哈根大学北西兰医院收集的数据.
- 包括患有初级伤口关闭和标准手术带的患者.
主要成果:
- 整体SSI率为12.6%. 这是一个很好的数字.
- 与开放式手术 (15.9%) 相比,紧急腹腔镜与显著较低的SSI率 (3.0%) 有关.
- 确定SSI的风险因素包括体重指数≥30,腹膜炎,口腔形成和腹腔切除术.
结论:
- 主要伤口关闭和普通带与高级捆绑护理下的紧急腹部手术中低SSI率有关.
- 风险因素识别有助于针对手术部位感染的有针对性的预防策略.
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