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Effects of Subcutaneous Closed Suction Drain for the Prevention of Incisional SSI in Patients with Colorectal Perforation
Division of Gastrointestinal Surgery, department of SURGERY, Kobe University Graduate School of Medicine, Kobe, Japan
Division of Gastrointestinal Surgery, department of SURGERY, Kobe University Graduate School of Medicine, Kobe, Japan
Division of Gastrointestinal Surgery, department of SURGERY, Kobe University Graduate School of Medicine, Kobe, Japan
Division of Gastrointestinal Surgery, department of SURGERY, Kobe University Graduate School of Medicine, Kobe, Japan
Division of Gastrointestinal Surgery, department of SURGERY, Kobe University Graduate School of Medicine, Kobe, Japan
Division of Gastrointestinal Surgery, department of SURGERY, Kobe University Graduate School of Medicine, Kobe, Japan
Division of Gastrointestinal Surgery, department of SURGERY, Kobe University Graduate School of Medicine, Kobe, Japan
Division of Gastrointestinal Surgery, department of SURGERY, Kobe University Graduate School of Medicine, Kobe, Japan
Division of Gastrointestinal Surgery, department of SURGERY, Kobe University Graduate School of Medicine, Kobe, Japan
Division of Gastrointestinal Surgery, department of SURGERY, Kobe University Graduate School of Medicine, Kobe, Japan
- 1 Division of Gastrointestinal Surgery, department of SURGERY, Kobe University Graduate School of Medicine, Kobe, Japan
- 2 Division of Gastrointestinal Surgery, department of SURGERY, Kobe University Graduate School of Medicine, Kobe, Japan
- 3 Division of Gastrointestinal Surgery, department of SURGERY, Kobe University Graduate School of Medicine, Kobe, Japan
- 4 Division of Gastrointestinal Surgery, department of SURGERY, Kobe University Graduate School of Medicine, Kobe, Japan
- 5 Division of Gastrointestinal Surgery, department of SURGERY, Kobe University Graduate School of Medicine, Kobe, Japan
- 6 Division of Gastrointestinal Surgery, department of SURGERY, Kobe University Graduate School of Medicine, Kobe, Japan
- 7 Division of Gastrointestinal Surgery, department of SURGERY, Kobe University Graduate School of Medicine, Kobe, Japan
- 8 Division of Gastrointestinal Surgery, department of SURGERY, Kobe University Graduate School of Medicine, Kobe, Japan
- 9 Division of Gastrointestinal Surgery, department of SURGERY, Kobe University Graduate School of Medicine, Kobe, Japan
- 10 Division of Gastrointestinal Surgery, department of SURGERY, Kobe University Graduate School of Medicine, Kobe, Japan
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Abstract
Objective: To determine if a subcutaneous closed suction drain decreases the incidence of wound complications in patients undergoing emergency surgery for colorectal perforation. Materials and Methods: Data on 47 patients who underwent emergency operations for colorectal perforation were examined retrospectively. The clinical features of these cases with or without the use of the J-VAC TM Drainage System were examined, and statistical analysis was performed. Results: In these high-risk cases, the overall incidence of incisional surgical site infection (SSI) was 36.2%. The incidence of incisional SSI in these cases with and without the J-VAC TM Drainage System was 16.7% and 56.5%, respectively. Conclusion: Our results suggest that a subcutaneous closed suction drain is effective for preventing incisional SSI in patients who have undergone emergency operations for colorectal perforation.
KeywordsSurgical Wound InfectionIntestinal PerforationClosed Suction DrainageEmergency Operation
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