Incidence of surgical site infections with triclosan-coated monofilament versus multifilament sutures in elective colorectal surgery
Incidence of surgical site infections with triclosan-coated monofilament versus multifilament sutures in elective colorectal surgery
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DOI：
10.1007/s00595-021-02383-6
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发表时间：
2021-10-18
期刊：
影响因子：
2.5
通讯作者：
Tani, Masaji
中科院分区：
文献类型：
--
作者：
Terada, Yoshitaka;Miyake, Toru;Tani, Masaji
目的外科部位感染是腹部外科最常见的并发症。据报道，使用三氯生涂层缝合腹壁可降低SSI的发生率。然而，在使用三氯生涂层复丝和三氯生涂层单丝缝合线之间，SSI的发生率还没有进行比较。因此，我们比较了使用三氯生涂层聚乳胶910缝线(Vicryl Plus)和三氯生涂层聚二氧六环酮缝线(PDS Plus)之间的切口SSI的发生率。方法对2015年1月至2018年12月在滋贺医科大学医院接受结直肠癌择期手术的318例患者进行观察队列研究。根据腹壁缝合的类型，PDS Plus组151例，Vicryl Plus组167例。结果两组发生SSI的危险因素差异无统计学意义。其他术后并发症在两组之间也没有明显差异。在多因素Logistic回归分析中，吻合口的存在是切开SSI的唯一独立危险因素。结论切口SSI的发生率不受三氯生涂层缝线类型的影响。吻合口的存在是切开SSI的独立危险因素。
Purpose Surgical site infections (SSIs) are the most frequent complication of abdominal surgery. Using triclosan-coated sutures for abdominal wall closure reportedly reduces the incidence of SSIs. However, the SSI incidence has not been compared between the use of triclosan-coated multifilament and triclosan-coated monofilament sutures. We, therefore, compared the incidence of incisional SSIs between the use of triclosan-coated polyglactin 910 sutures (Vicryl Plus) and triclosan-coated polydioxanone sutures (PDS Plus). Methods This observational cohort study was conducted on 318 consecutive patients who underwent elective colorectal cancer surgery at the Shiga University of Medical Science Hospital from January 2015 to December 2018. Based on the suture type for abdominal wall closure, 151 patients were enrolled in the PDS Plus group, and 167 were enrolled in the Vicryl Plus group. Results The two suture groups were not significantly different in terms of risk factors for SSIs. Other postoperative complications also did not differ markedly between the two groups. In the multivariate logistic regression analysis, the presence of stoma was the only independent risk factor for incisional SSIs. Conclusion The incidence of incisional SSIs was unaffected by the type of triclosan-coated sutures. The presence of stoma was an independent risk factor for incisional SSIs.