Kurumboor Prakash, Chacko Sidharth, Vipin I S, Prakash Rohan, Pal Ashna S
Department of GI and HPB Surgery, Aster Medcity, Kochi, Kerala, India.
J Minim Access Surg. 2024 Jan 1;20(1):7-11. doi: 10.4103/jmas.jmas_110_22. Epub 2022 Oct 31.
Surgical site infections (SSI) continue to be a major cause of morbidity, mortality, prolonged hospital stays and a major reason of financial burden to health-care providers and patients after major abdominal surgeries. Along with infection control practices and care bundles, additional use of devices which protect the wound from contamination is believed to decrease the burden of SSI.
This study aims to assess the benefit of single-ring disposable wound protector in preventing SSI, overall complications, hospitals stay and morbidity data in laparoscopic colorectal resection.
The study design involves case-control study, retrospective.
A case-control study comparing single ring oval wound protector versus conventional wound protectors retrospectively between August 2019 and December 2021. The ease of use of the device, rate of SSI, overall complications, hospitals stay and morbidity data were analysed.
The statistical analysis was performed by IBM SPSS Statistics 20 version. All Categorical Variables will be described as frequency and percentage. Continuous variables will be described as mean ± standard deviation. Continuous variables were analysed using t-test and categorical parameters using Fisher's exact test.
Of the 110 patients studied, wound Protecting devices were used in 58 patients Wound Protector Group (WPG group) and 62 patients did not use such devices (no WPG). The groups were comparable in demographic features, risk features, systemic illness, type of surgeries undertaken and the specimen extraction wound used. There was a significant decrease in the incidence of SSI (1.7% vs. 16% P ≤ 0.008) and the hospital stay (P ≤ 0.03) when WPG was used compared to the group in which it was not used.
Apart from the use of infection control practices and care bundles, the use of oval-shaped single-ring wound protector is likely to reduce SSI.
手术部位感染（SSI）仍然是腹部大手术后发病、死亡、住院时间延长的主要原因，也是医疗服务提供者和患者经济负担的主要原因。除了感染控制措施和护理集束外，额外使用能保护伤口免受污染的器械被认为可以减轻SSI的负担。
本研究旨在评估单环一次性伤口保护器在预防腹腔镜结直肠切除术中的SSI、总体并发症、住院时间和发病数据方面的益处。
本研究设计为回顾性病例对照研究。
一项病例对照研究，回顾性比较2019年8月至2021年12月期间单环椭圆形伤口保护器与传统伤口保护器。分析了该器械的易用性、SSI发生率、总体并发症、住院时间和发病数据。
采用IBM SPSS Statistics 20版本进行统计分析。所有分类变量将以频率和百分比描述。连续变量将以均值±标准差描述。连续变量采用t检验分析，分类参数采用Fisher精确检验分析。
在研究的110例患者中，58例患者使用了伤口保护器械（伤口保护器组，WPG组），62例患者未使用此类器械（无WPG组）。两组在人口统计学特征、风险特征、全身性疾病、所进行的手术类型和标本提取伤口方面具有可比性。与未使用WPG的组相比，使用WPG时SSI发生率（1.7%对16%，P≤0.008）和住院时间（P≤0.03）显著降低。
除了采用感染控制措施和护理集束外，使用椭圆形单环伤口保护器可能会降低SSI。
