RT Journal Article
SR Electronic
T1 Efficacy of Ring Drape and Unused Sterile Instruments for Incisional SSI After Hepatectomy
JF Anticancer Research
JO Anticancer Res
FD International Institute of Anticancer Research
SP 1007
OP 1012
DO 10.21873/anticanres.15561
VO 42
IS 2
A1 YUSA, TOSHIHIKO
A1 YAMASHITA, YO-ICHI
A1 NITTA, HIDETOSHI
A1 NAKAO, YOSUKE
A1 ITOYAMA, RUMI
A1 KITANO, YUKI
A1 KAIDA, TAKAYOSHI
A1 MIYATA, TATSUNORI
A1 MIMA, KOSUKE
A1 IMAI, KATSUNORI
A1 HAYASHI, HIROMITSU
A1 BABA, HIDEO
YR 2022
UL http://ar.iiarjournals.org/content/42/2/1007.abstract
AB Background/Aim: The aim of this study was to verify the efficacy of wound protection with a plastic ring wound protector (ring drape) and using new sterile instruments when closing the abdominal wall (wound closure set), both of which were used to prevent incisional surgical site infection (SSI) after hepatectomy. Patients and Methods: The incidence of incisional SSIs and the clinical courses of 572 patients who underwent hepatectomy between January 2010 and December 2015 were studied retrospectively. The patients were divided into three period groups according to the period when each infection countermeasure was started. Results: Incisional SSI incidence decreased significantly with additional countermeasures: 1st period 10.1%; 2nd period 2.08% (p=0.0114); 3rd period, 1.63% (1st vs. 3rd period, p=0.0016). A multivariate analysis showed that postoperative bile leakage [odds ratio (OR)=4.12, p=0.012] and not using a ring drape (OR=0.176, p=0.003) were independent factors for incisional SSI. Conclusion: Incisional SSI incidence was significantly reduced by using ring drape after hepatectomy.