Prevention of Incisional Surgical Site Infection Using a Subcuticular Absorbable Suture in Elective Surgery for Gastrointestinal Cancer

被引：9

作者：

Bou, Hideki ^{[1
]}

Suzuki, Hideyuki ^{[1
]}

Maejima, Kentarou ^{[1
]}

Uchida, Eiji ^{[2
]}

Tokunaga, Akira ^{[2
]}

机构：

[1] Musashi Kosugi Hosp, Nippon Med Sch, Inst Gastroenterol, Kawasaki, Kanagawa, Japan

[2] Nippon Med Sch, Dept Surg, Tokyo 113, Japan

来源：

INTERNATIONAL SURGERY | 2015年 / 100卷 / 06期

关键词：

Surgical site infection; Subcuticular suture; Absorbable monofilament; Gastrointestinal cancer surgery; CLOSURE; MANAGEMENT; TISSUE;

D O I：

10.9738/INTSURG-D-14-00185.1

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

This study examined whether subcuticular absorbable sutures actually reduce incisional SSI in patients undergoing surgery for gastrointestinal (GI) cancer. Surgical site infection (SSI) is still a source of major complications in digestive tract surgery. Reportedly, incisional SSI can be reduced using subcuticular suturing. We performed subcuticular suturing using a 4-0 absorbable monofilament in patients undergoing elective surgery for GI cancer beginning in 2008. Using an interrupted technique, sutures were placed 1.5-2.0cm from the edge of the wound, with everted subcuticular sutures created at intervals of 1.5-2.0cm. The control group consisted of cases in which the common subcutaneous suture method using clip. One hundred cases were examined in the subcuticular group. The incidence of SSI was 0% in the subcuticular suture group, compared with 13.9% in the control group; this difference was significant. Incisional SSI can be prevented using the devised subcuticular absorbable sutures in patients undergoing elective surgery for GI cancer.

引用

页码：999 / 1003

页数：5

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