Methodist DeBakey Heart and Vascular Center, Houston Methodist Hospital, Houston, TX.
Methodist DeBakey Heart and Vascular Center, Houston Methodist Hospital, Houston, TX.
Ann Vasc Surg. 2021 Apr;72:578-588. doi: 10.1016/j.avsg.2020.09.046. Epub 2020 Nov 4.
Surgical site infection (SSIs) in lower extremity vascular procedures is a major contributor to patient morbidity and mortality. Despite previous advancements in preoperative and postoperative care, the surgical infection rate in vascular surgery remains high, particularly when groin incisions are involved. However, successfully targeting modifiable risk factors reduces the surgical site infection incidence in vascular surgery patients. We conducted an extensive literature review to evaluate the efficacy of various preventive strategies for groin surgical site infections. We discuss the role of preoperative showers, preoperative and postoperative antibiotics, collagen gentamicin implants, iodine impregnated drapes, types of skin incisions, negative pressure wound therapy, and prophylactic muscle flap transposition in preventing surgical site infection in the groin after vascular surgical procedures.
下肢血管手术部位感染（SSI）是导致患者发病率和死亡率的主要原因之一。尽管在术前和术后护理方面取得了先前的进展，但血管外科的手术感染率仍然很高，尤其是涉及腹股沟切口时。然而，成功针对可改变的危险因素可以降低血管外科患者的手术部位感染发生率。我们进行了广泛的文献回顾，以评估各种预防腹股沟手术部位感染的策略的疗效。我们讨论了术前淋浴、术前和术后抗生素、胶原庆大霉素植入物、碘浸渍手术巾、皮肤切口类型、负压伤口治疗以及预防性肌肉皮瓣转移在预防血管手术后腹股沟手术部位感染中的作用。
