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Please use this identifier to cite or link to this item: http://hdl.handle.net/10564/3920

Title: A combination of subcuticular sutures and subcutaneous closed-suction drainage reduces the risk of incisional surgical site infection in loop ileostomy closure.
Other Titles: 皮下埋没縫合および皮下閉鎖式陰圧ドレーン挿入による、回腸人工肛門閉鎖術後創部感染の減少効果について
Authors: Fukuoka, Kohei
Koyama, Fumikazu
Kuge, Hiroyuki
Ohara, Shinsaku
Nakamoto, Takayuki
Iwasa, Yousuke
Takei, Takeshi
Matsumoto, Yayoi
Sadamitsu, Tomomi
Sho, Masayuki
Keywords: Loop ileostomy closure
Subcuticular suture
Closed-suction drainage
Surgical site infection
Issue Date: Apr-2021
Publisher: Springer Nature
Citation: Surgery today Vol.51 No.4 p.605-611 (2021 Apr)
Abstract: Purpose: The purpose of this study was to evaluate the effectiveness of a wound closure method using a combination of subcuticular sutures and subcutaneous closed-suction drainage (SS closure) for preventing incisional surgical site infection (SSI) in loop ileostomy closure. Methods: A total of 178 consecutive patients who underwent loop ileostomy closure at Nara Medical University Hospital between 2004 and 2018 were retrospectively assessed. The patients were divided into 2 groups: the conventional skin closure (CC) group from 2004 to 2009 (75 patients) and the SS closure (SS) group from 2010 to 2018 (103 patients). The incidence of incisional SSI was compared between the two groups, and the factors associated with incisional SSI were examined by univariate and multivariate analyses. Results: Incisional SSI occurred in 7 cases (9.3%) in the CC group but was significantly reduced to only 1 case (0.9%) in the SS group (p = 0.034). In the univariate analysis, the hemoglobin levels, serum creatinine levels, and SS closure were associated with incisional SSI. SS closure was the only independent preventive factor for incisional SSI according to the multivariate analysis (hazard ratio = 0.24, p = 0.011). Conclusion: The combination of subcuticular sutures and subcutaneous closed-suction drainage may be a promising way of preventing incisional SSI in loop ileostomy closure.
Description: 博士(医学)・乙第1496号・令和3年3月15日
© Springer Nature Singapore Pte Ltd. 2020
This is a post-peer-review, pre-copyedit version of an article published in Surgery today. The final authenticated version is available online at: https://doi.org/10.1007/s00595-020-02128-x.
URI: http://hdl.handle.net/10564/3920
ISSN: 09411291
Academic Degrees and number: 24601B1496
Degree-granting date: 2021-03-15
Degree name: 博士(医学)
Degree-granting institutions: 奈良県立医科大学
Appears in Collections:2020年度

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