Theodoridis T D, Chatzigeorgiou K N, Zepiridis L, Papanicolaou A, Vavilis D, Tzevelekis F, Tarlatzis B C
1(st) Department of Obstetrics and Gynecology, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece.
Clin Exp Obstet Gynecol. 2011;38(1):57-9.
Surgical site infections (SSIs) after cesarean section appear to be more common than generally believed. We prospectively evaluated 231 consecutive pregnant women who underwent elective or emergency cesarean section, and were assigned to have either the Alexis wound retractor (study group) or a conventional Doyen retractor (control group) during the operation. There was no evidence of SSI, defined as wound dehiscence, pain or tenderness in the lower abdomen, localized swelling, redness, heat or purulent discharge from the wound in any woman in the study group. Moreover, no endometritis occurred in this patient collective. There were three SSI in the control group, but no endometritis. Our preliminary data show excellent protection of wound infections with an additive protective effect to that given by antibiotic cover. After a short learning curve, the handling of the Alexis device became easier and the median insertion time was 18 sec.
剖宫产术后手术部位感染（SSIs）似乎比普遍认为的更为常见。我们前瞻性地评估了231例连续接受择期或急诊剖宫产的孕妇，她们在手术期间被分配使用Alexis伤口牵开器（研究组）或传统的多扬牵开器（对照组）。研究组中没有任何女性出现符合手术部位感染定义的情况，即伤口裂开、下腹部疼痛或压痛、局部肿胀、发红、发热或伤口有脓性分泌物。此外，该患者群体中未发生子宫内膜炎。对照组有3例手术部位感染，但无子宫内膜炎。我们的初步数据显示，Alexis装置对伤口感染有极佳的防护作用，且具有抗生素覆盖之外的附加保护效果。经过短暂的学习曲线后，Alexis装置的操作变得更容易，中位插入时间为18秒。
