Subcuticular sutures in laparoscopic colorectal surgery: a comparative study to evaluate wound infection rates and cosmetic results.
Aged
Body Mass Index
Colon
/ surgery
Digestive System Surgical Procedures
/ methods
Elective Surgical Procedures
/ methods
Esthetics
Female
Hemoglobins
/ metabolism
Humans
Laparoscopy
/ methods
Male
Patient Satisfaction
Rectum
/ surgery
Risk Factors
Surgical Wound Infection
/ epidemiology
Suture Techniques
Treatment Outcome
Colorectal surgery
Cosmetic results
Laparoscopic surgery
Subcuticular sutures
Wound infection
Journal
Updates in surgery
ISSN: 2038-3312
Titre abrégé: Updates Surg
Pays: Italy
ID NLM: 101539818
Informations de publication
Date de publication:
Dec 2020
Dec 2020
Historique:
received:
05
01
2020
accepted:
04
03
2020
pubmed:
14
3
2020
medline:
2
1
2021
entrez:
14
3
2020
Statut:
ppublish
Résumé
Laparoscopic colorectal surgery is categorized as clean-contaminated surgery. It is important to prevent incisional surgical site infections (SSIs), because SSIs can prolong hospital stays, increase medical costs and produce negative cosmetic outcomes for patients. The aim of this study is to evaluate the efficacy of subcuticular skin sutures following colorectal laparoscopic surgery in terms of wound infection rates and aesthetic results. A retrospective analysis on a database of a consecutive series of unselected patients was conducted. Patients underwent elective colorectal laparoscopic surgery in a single center between October 1st of 2016 and October 30th of 2017. Data on patients' demographics, operative details, short-term and long-term outcomes and aesthetic satisfaction were prospectively recorded. A total of 100 patients were selected and divided in 2 groups: 43 patients who had received subcuticular sutures, 57 patients who had received separate stitch sutures. Wound infection rates were lower, with no statistical significance in the subcuticular suture group (6.9% versus 15.8%, p = 0.182), but the patient-reported cosmetic results were superior in the subcuticular suture group (1.9 versus 2.9, p < 0.001). Multivariate analyses identified high BMI and low preoperative hemoglobin level as possible risk factors associated with wound infection after colorectal laparoscopic surgery. Subcuticular sutures could improve cosmetic results in patients undergoing elective laparoscopic surgery for colorectal cancer with comparable risks of wound infection. In this population, high BMI and low preoperative hemoglobin levels appear to be risk factors associated with wound infections.
Identifiants
pubmed: 32166717
doi: 10.1007/s13304-020-00740-7
pii: 10.1007/s13304-020-00740-7
doi:
Substances chimiques
Hemoglobins
0
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1005-1011Références
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