Song Ju Myung, Kim Ji Hoon, Kim Moon Jin, Lim Chae Dong, Lee Yoon Suk
Department of Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon 21431, Republic of Korea.
Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea.
J Clin Med. 2025 Jan 3;14(1):236. doi: 10.3390/jcm14010236.
Surgical site infection (SSI) is a leading common condition after ileostomy reversal (IR). However, evidence is unclear that subcutaneous negative-suction drainage (SND) reduces the incidence of SSI. This study aimed to investigate whether SND effectively reduced the incidence of SSI. We retrospectively analyzed the records of 531 patients who underwent IR at Incheon St. Mary's Hospital between June 2005 and December 2020. SND was classified into two groups based on its presence or absence. The estimated risk of SSI was calculated using the surgical risk calculator of the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP). After 1:1 propensity score matching (PSM) using the estimated risk of SSI, we analyzed the two group's postoperative outcomes, including SSI rates. After PSM, there was no difference in demographics between the two groups; however, the reversal interval was longer in the SND group than in the no SND group (193.3 ± 151.6 vs. 151.5 ± 141.0 days, = 0.005). The incidence of SSI was lower in the SND group than in the no SND group (5.2% vs. 13.0%, = 0.013). SND insertion can reduce the incidence of SSI during IR. Therefore, SND insertion should be considered as a basic technique for reducing SSI after IR.
手术部位感染（SSI）是回肠造口术逆转（IR）后常见的主要病症。然而，皮下负压引流（SND）能否降低SSI的发生率，目前证据尚不明确。本研究旨在探讨SND是否能有效降低SSI的发生率。我们回顾性分析了2005年6月至2020年12月期间在仁川圣母医院接受IR手术的531例患者的记录。根据是否使用SND将患者分为两组。使用美国外科医师学会国家外科质量改进计划（ACS NSQIP）的手术风险计算器计算SSI的估计风险。在使用SSI估计风险进行1:1倾向评分匹配（PSM）后，我们分析了两组的术后结果，包括SSI发生率。PSM后，两组患者的人口统计学特征无差异；然而，SND组的逆转间隔时间比未使用SND组更长（193.3±151.6天 vs. 151.5±141.0天，P = 0.005）。SND组的SSI发生率低于未使用SND组（5.2% vs. 13.0%，P = 0.013）。插入SND可降低IR期间SSI的发生率。因此，应考虑将插入SND作为降低IR后SSI的一项基本技术。
