Surgery, Gastroenterology and Oncology
Official journal of the International Association of Surgeons, Gastroenterologists and Oncologists
|
|
The Effects of Wound Protector to Decrease the Incisional Surgical Site Infection in Open Abdominal Surgery, Double-Blind Prospective Randomized Controlled Trial
Background: Surgical site infection (SSI) is the most common cause of postoperative morbidity after laparotomy. Many independent factors show to increase risk of SSI. Prevention of SSI is very important especially intraoperative period.
Methods: Patients undergoing a standard midline laparotomy were prospectively randomized to use or not use a wound protector between September 2016 and January 2018. The 128 patients were eligible for the study. Preoperative and perioperative data, those can be risk factors for SSI, incidence of the SSI in each group were collected for analysis.
Results: Wound protector was used in 64 patients (WP group) and not used in 64 patients (Non-WP group). All demographic data and surgical variability of the 2 groups are no significantly difference.A patient in non-WP group dead from non-SSI related condition.Three patients (1 patient from non-WP and 2 patients from WP group) undergone re-operation before 30 days without any wound complication.
Incisional surgical site infection had significantly higher incidence in Non-WP group than WP group (35.5% vs 12.9%, P-value 0.006). Multivariate analysis revealed that placement of a wound protector could decrease the incidence of I-SSI (odds ratios [OR] 0.269, 95% confidence interval [CI] 0.109-0.667). Many specific conditions that wound protector could prevent the I-SSI were found.
Conclusion: Using wound protector placement is effective for decreasing the incidence of incisional surgical site infection in the major laparotomy operation.
Full Text Sources:
Abstract:
Views: 3576
Methods: Patients undergoing a standard midline laparotomy were prospectively randomized to use or not use a wound protector between September 2016 and January 2018. The 128 patients were eligible for the study. Preoperative and perioperative data, those can be risk factors for SSI, incidence of the SSI in each group were collected for analysis.
Results: Wound protector was used in 64 patients (WP group) and not used in 64 patients (Non-WP group). All demographic data and surgical variability of the 2 groups are no significantly difference.A patient in non-WP group dead from non-SSI related condition.Three patients (1 patient from non-WP and 2 patients from WP group) undergone re-operation before 30 days without any wound complication.
Incisional surgical site infection had significantly higher incidence in Non-WP group than WP group (35.5% vs 12.9%, P-value 0.006). Multivariate analysis revealed that placement of a wound protector could decrease the incidence of I-SSI (odds ratios [OR] 0.269, 95% confidence interval [CI] 0.109-0.667). Many specific conditions that wound protector could prevent the I-SSI were found.
Conclusion: Using wound protector placement is effective for decreasing the incidence of incisional surgical site infection in the major laparotomy operation.
Full Text Sources:
Abstract:
Views: 3576
Watch Video Articles
For Authors
Journal Subscriptions
Current Issue
Dec 2025
Supplements
Instructions for authors
Online submission
Contact
ISSN: 2559 - 723X (print)
e-ISSN: 2601 - 1700 (online)
ISSN-L: 2559 - 723X
Journal Abbreviation: Surg. Gastroenterol. Oncol.
Surgery, Gastroenterology and Oncology (SGO) is indexed in:
e-ISSN: 2601 - 1700 (online)
ISSN-L: 2559 - 723X
Journal Abbreviation: Surg. Gastroenterol. Oncol.
Surgery, Gastroenterology and Oncology (SGO) is indexed in:
- SCOPUS
- EBSCO
- DOI/Crossref
- Google Scholar
- SCImago
- Harvard Library
- Open Academic Journals Index (OAJI)
Open Access Statement
Surgery, Gastroenterology and Oncology (SGO) is an open-access, peer-reviewed online journal published by Celsius Publishing House. The journal allows readers to read, download, copy, distribute, print, search, or link to the full text of its articles.
Surgery, Gastroenterology and Oncology (SGO) is an open-access, peer-reviewed online journal published by Celsius Publishing House. The journal allows readers to read, download, copy, distribute, print, search, or link to the full text of its articles.
Journal Metrics
Time to first editorial decision: 25 days
Rejection rate: 61%
CiteScore: 0.2
Time to first editorial decision: 25 days
Rejection rate: 61%
CiteScore: 0.2
IASGO Society News
Meetings and Courses in 2025
Meetings and Courses in 2024
Meetings and Courses in 2023
Meetings and Courses in 2022
Meetings and Courses in 2021
Meetings and Courses in 2020
Meetings and Courses in 2019
Verona expert meeting 2019
Surgery, Gastroenterology and Oncology applies the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits readers to copy and redistribute the material in any medium or format, remix, adapt, build upon the published works non-commercially, and license the derivative works on different terms, provided the original material is properly cited and the use is non-commercial. Please see: https://creativecommons.org/licenses/by-nc/4.0/
Publisher’s Note:
The opinions, statements, and data contained in article are solely those of the authors and not of Surgery, Gastroenterology and Oncology journal or the editors. Publisher and the editors disclaim responsibility for any damage resulting from any ideas, instructions, methods, or products referred to in the content.