Comparison of surgical site infection rates in clean and clean-contaminated wounds in dogs and cats after minimally invasive versus open surgery: 179 cases (2007–2008)

Abstract

MIS may be associated with a lower SSI rate, compared with OS, but confounding factors such as differences in surgery time and preoperative preparation contributed in part to this finding. As such, surgical approach cannot be categorized as an independent risk factor for SSIs in small animals until further studies are performed.

Single-Incision, Laparoscopic-Assisted Jejunal Resection and Anastomosis Following a Gunshot Wound

“…[11][12][13] The potential advantages of laparoscopic-assisted surgical procedures include smaller incisions, decreased soft-tissue trauma, decreased postoperative pain, decreased hospitalization time, and greater visualization compared with conventional surgeries. [11][12][13][14][15][16]17 Similarly, reducing port size and number, a concept that has gained popularity in human medicine, is now progressing in veterinary minimally invasive surgery. [13][14][15][17][18][19] To that end, specially designed single-incision devices, such as the SILS port, have allowed the use of multiple instruments through a single port and have helped to facilitate surgical advances.…”

“…It has recently been suggested that minimally invasive procedures may reduce postoperative infection rates compared to conventional techniques. 16 Whether or not this is the case for laparoscopic-assisted intestinal procedures remains to be answered but is worth future investigation.…”

Infectious Disease

“…10,12 Another study reported that for every 90 min of surgery time, there was a 2.1 greater odds of SSI. 13 Prolonged anesthesia has been reported as a predisposing factor for SSI. One veterinary study reported a 30% increase in the risk of SSI in clean wounds for each additional hour of anesthesia.…”

Recent advances in soft tissue minimally invasive surgery

“…In a study comparing surgical site infection (SSI) rates between open and minimally invasive surgery, on univariate analysis surgical approach (MIS versus open) was found to have a beneficial effect on SSI rate post‐operatively (Mayhew et al . ). The SSI rate for the open group was 5.5% compared to an SSI rate of 1.7% in the MIS group.…”