Subcuticular sutures reduce surgical site infection after repeat liver resection: a matched cohort analysis
| Autor: | Yusuke Mitsuka, Yoritaka Matsuno, Nao Yoshida, Tokio Higaki, Tadatoshi Takayama, Shintaro Yamazaki, Masamichi Moriguchi |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Health (social science) General Biochemistry Genetics and Molecular Biology Resection 03 medical and health sciences 0302 clinical medicine Matched cohort Negatively associated medicine Hepatectomy Humans Surgical Wound Infection Aged Retrospective Studies Aged 80 and over Univariate analysis integumentary system business.industry Incidence Liver Neoplasms Suture Techniques General Medicine Odds ratio Middle Aged medicine.disease Confidence interval Surgery Liver Patient Satisfaction 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Female Neoplasm Recurrence Local business Liver cancer Surgical site infection |
| Zdroj: | Bioscience trends. 14(6) |
| ISSN: | 1881-7823 |
| Popis: | Liver cancer frequently requires repeated liver resections due to the high recurrence rate. The aim of this study was to clarify whether subcuticular sutures reduce wound complication rates following repeat incisions. Data from 382 repeated liver resections in 1,245 consecutive patients were assessed. Patients were divided into a Subcuticular sutures group and a Skin staples group on the basis of the wound-closure method. To avoid bias in analysing wound complications, data were matched to adjust for patient background and operation variables. After matching, 82 matched, paired patients with subcuticular sutures or skin staples were compared. Total wound complication rate was significantly lower with subcuticular sutures than with skin staples (8.5% vs. 20.7%, p = 0.027). Incisional surgical site infection was also lower with subcuticular sutures than with skin staples (6.1% vs. 17.1, p = 0.028). Univariate analysis revealed 4 factors associated with wound complications: body mass index; serum albumin concentration; wound length; and closure with skin staples. Multivariate analysis revealed closure with skin staples (odds ratio, 2.91; 95% confidence interval, 1.07-7.94; p = 0.037) as the only independent factor negatively associated with wound complications. Subcuticular sutures appear to reduce wound complications compared to skin staples following repeat incision for liver resection. |
| Databáze: | OpenAIRE |
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