Effect of wound protectors on surgical site infection in patients undergoing whipple procedure
| Autor: | May C. Tee, Janet P. Edwards, Leo Chen, Chad G. Ball, Jan Franko, Shankar Raman |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment MEDLINE 030230 surgery Biliary Stenting Pancreaticoduodenectomy Whipple Procedure 03 medical and health sciences 0302 clinical medicine Risk Factors medicine Humans Surgical Wound Infection In patient Retrospective Studies Hepatology business.industry Gastroenterology Surgery Acs nsqip Biliary Tract Surgical Procedures Elective Surgical Procedures 030220 oncology & carcinogenesis embryonic structures Propensity score matching Pancreatectomy business Surgical site infection |
| Zdroj: | HPB. 23:1185-1195 |
| ISSN: | 1365-182X |
| Popis: | Conflicting data persists for use of wound protectors in pancreatoduodenectomy (PD) to prevent surgical site infection (SSI). We aimed to examine, at a multi-institutional level, the effect of wound protectors on superficial or deep SSI following elective open PD.The American College of Surgeons National Surgical Quality Improvement Program pancreatectomy procedure targeted participant use file was queried from 2016 to 2018. Planned open PD procedures were extracted. Univariable, multivariable, and propensity score matched analyses were conducted.11,562 patients undergoing PD were evaluated, 27% of which used wound protectors. Wound protectors decreased superficial or deep SSI risk in all patients (5.7% vs. 9.5%, P 0.001), patients who have (6.6% vs. 12.2%, P 0.001) and who did not have (4.6% vs. 6.5%, P = 0.011) a biliary stent. Propensity score matched analysis confirms such results (OR = 0.56, 95% CI: 0.46-0.69, P 0.001 overall, OR = 0.66, 95% CI: 0.46-0.95, P = 0.03 without biliary stent, OR = 0.57, 95% CI: 0.44-0.73, P 0.001 with biliary stent).Wound protectors reduce risk of superficial or deep SSI in patients undergoing PD, yet only a quarter of PD were associated with their use. This protective effect is seen whether patients have or have not had preoperative biliary stenting. |
| Databáze: | OpenAIRE |
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