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Effects of a Subcutaneous Drain for the Prevention of Incisional Surgical Site Infection in High-Risk Patients Undergoing Colorectal Surgery
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- Fujii Takaaki
- Department of General Surgical Science, Graduate School of Medicine, Gunma University
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- Sutoh Toshinaga
- Department of General Surgical Science, Graduate School of Medicine, Gunma University
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- Morita Hiroki
- Department of General Surgical Science, Graduate School of Medicine, Gunma University
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- Yajima Reina
- Department of General Surgical Science, Graduate School of Medicine, Gunma University
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- Katoh Toshihide
- Department of General Surgical Science, Graduate School of Medicine, Gunma University
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- Tsutsumi Soichi
- Department of General Surgical Science, Graduate School of Medicine, Gunma University
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- Asao Takayuki
- Department of General Surgical Science, Graduate School of Medicine, Gunma University
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- Kuwano Hiroyuki
- Department of General Surgical Science, Graduate School of Medicine, Gunma University
Bibliographic Information
- Other Title
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- Incisional SSI高リスク群における皮下ドレーンの有用性
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Description
We have assessed the factors that would be most predictive of postoperative incisional surgical site infection (SSI) in colorectal surgery and have previously demonstrated that the risk of incisional SSI increases with obesity, and that the most useful predictor of incisional SSI is the thickness of the subcutaneous fat (TSF), as evaluated by preoperative CT. Based on this finding, we have recently attempted a closure technique in surgery for the obese in which a subcutaneous drain is inserted for the prevention of incisional SSI. We have assessed the utility of a subcutaneous drain for preventing incisional SSI in patients undergoing colorectal surgery who are at high risk for incisional SSI, including patients with obesity (thick subcutaneous fat tissue, <20 mm) and those undergoing emergency operations. In this review, we summarize the effectiveness of subcutaneous drains for preventing incisional SSI in patients with thick subcutaneous fat or following an emergency operation in colorectal surgery, and we propose incisional SSI surveillance for obese patients, which should lead to a further reduction in incisional SSIs.
Journal
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- Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
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Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) 32 (6), 1051-1056, 2012
Japanese Society for Abdominal Emergency Medicine
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Details 詳細情報について
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- CRID
- 1390001204735746304
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- NII Article ID
- 10031165294
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- NII Book ID
- AN10426469
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- ISSN
- 18824781
- 13402242
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed
