Efficacy of subcutaneous penrose drains for surgical site infections in colorectal surgery  

作　　者：Shinya Imada Shingo Noura Masayuki Ohue Tatsushi Shingai Toshinori Sueda Kentaro Kishi Terumasa Yamada Hiroaki Ohigashi Masahiko Yano Osamu Ishikawa 

机构地区：[1]Department of Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases

出　　处：《World Journal of Gastrointestinal Surgery》2013年第4期110-114,共5页世界胃肠外科杂志（英文版）（电子版）

基　　金：Supported by Osaka Medical Center for Cancer and Cardiovascular Diseases

摘　　要：AIM: To investigate whether a subcutaneous penrose drain would decrease the superficial surgical site infection (s-SSI) rate in elective colorectal surgery. METHODS: This is a comparative study of the historical control type. Intervention consisted of the use of penrose drain in elective open colorectal surgical wounds. The outcome was an incidence of s-SSI. The patients were risk stratified according to the depth of subcutaneous tissue.RESULTS: There were 131 patients (40 patients with high s-SSI risk) in the prior period (from July 2008 to June 2009, when no penrose drains were inserted) and 151 patients (75 patients with high s-SSI risk) in the latter period (from June 2010 to November 2011, when penrose drains were inserted). The overall s-SSI rate was 6.1% and 5.3% during the two periods (P = 0.770), and the s-SSI rate in the high s-SSI risk group was 15.0% and 8.0% (P = 0.242).CONCLUSION: Although penrose drain was not observed to significantly reduce s-SSI, there tended to be a reduced risk of s-SSI in the high s-SSI risk group.AIM: To investigate whether a subcutaneous penrose drain would decrease the superficial surgical site infection (s-SSI) rate in elective colorectal surgery. METHODS: This is a comparative study of the historical control type. Intervention consisted of the use of penrose drain in elective open colorectal surgical wounds. The outcome was an incidence of s-SSI. The patients were risk stratified according to the depth of subcutaneous tissue.RESULTS: There were 131 patients (40 patients with high s-SSI risk) in the prior period (from July 2008 to June 2009, when no penrose drains were inserted) and 151 patients (75 patients with high s-SSI risk) in the latter period (from June 2010 to November 2011, when penrose drains were inserted). The overall s-SSI rate was 6.1% and 5.3% during the two periods (P = 0.770), and the s-SSI rate in the high s-SSI risk group was 15.0% and 8.0% (P = 0.242).CONCLUSION: Although penrose drain was not observed to significantly reduce s-SSI, there tended to be a reduced risk of s-SSI in the high s-SSI risk group.

关 键 词：SURGICAL site INFECTIONS SUBCUTANEOUS penrose DRAINS COLORECTAL SURGERY Open SURGERY SUBCUTANEOUS tissue 

分 类 号：R735.34[医药卫生—肿瘤]