Continuous Negative Pressure Drainage with Intermittent Irrigation Leaded to a Risk Reduction of Perineal Surgical Site Infection Following Laparoscopic Extralevator Abdominoperineal Excision for Low Rectal Cancer

Han, Ziqiang; Yang, Chunxia; Wang, Qingfeng; Wang, Meng; Li, Xi; Zhang, Chao

doi:10.2147/tcrm.s306896

Cited by 5 publications

(4 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some of the most common surgical procedures that patients underwent were low anterior resection, colectomy and abdominoperineal resection (see Table 2). Most interventions were delivered in academic (Arslan et al., 2020; Chadi et al., 2014; Cima et al., 2013; Curchod et al., 2022; Curran et al., 2019; Forsmo et al., 2016; Han et al., 2021; Keenan et al., 2014, 2015; Martinez et al., 2020; Pan et al., 2015; Park et al., 2020; Poehnert et al., 2017; Tanner et al., 2016; Wierdak et al., 2021) and tertiary facilities (Carrano et al., 2021; Chadi et al., 2014; Cima et al., 2013; D'Souza et al., 2019; Keenan et al., 2014, 2015; Martinez et al., 2020; Ocaña Jiménez et al., 2019; Park et al., 2020; Poehnert et al., 2017; Wierdak et al., 2021). The units where interventions/quality improvement initiatives were delivered were surgical (Hewitt et al., 2017; Pellino, Sciaudone, Candilio, de Fatico, et al., 2014; Selvaggi et al., 2014; Watanabe et al., 2017), colorectal (Gorgun et al., 2018; Pan et al., 2015; Shakeshaft et al., 2020), gastroenterology (Han et al., 2021) and general surgical units (Arslan et al., 2020).…”

Section: Resultsmentioning

confidence: 99%

Post‐operative nursing activities to prevent wound complications in patients undergoing colorectal surgeries: A scoping review

Tobiano,

Chaboyer,

Tong

et al. 2023

Journal of Clinical Nursing

View full text Add to dashboard Cite

AimsTo identify postoperative interventions and quality improvement initiatives used to prevent wound complications in patients undergoing colorectal surgeries, the types of activities nurses undertake in these interventions/initiatives and how these activities align with nurses' scope of practice.DesignA scoping review.Data SourcesThree health databases were searched, and backward and forward citation searching occurred in April 2022. Research and quality improvement initiatives included focussed on adult patients undergoing colorectal surgery, from 2010 onwards. Data were extracted about study characteristics, nursing activities and outcomes. The ‘Dimensions of the scope of nursing practice’ framework was used to classify nursing activities and then the Patterns, Advances, Gaps, Evidence for practice and Research recommendations framework was used to synthesise the review findings.ResultsThirty‐seven studies were included. These studies often reported negative wound pressure therapy and surgical site infection bundle interventions/initiatives. Nurses' scope of practice was most frequently ‘Technical procedure and delegated medical care’ meaning nurses frequently acted under doctors' orders, with the most common delegated activity being dressing removal.ConclusionThe full extent of possible interventions nurses could undertake independently in the postoperative period requires further exploration to improve wound outcomes and capitalise on nurses' professional role.Impact Statement Nurses' role in preventing postoperative wound complications is unclear, which may inhibit their ability to influence postoperative outcomes. In the postoperative period, nurses undertake technical activities, under doctors' orders to prevent wound infections. For practice, nurses need to upkeep and audit their technical skills. New avenues for researchers include exploration of independent activities for postoperative nurses and the outcomes of these activities. Implications for the Profession and/or Patient CareThere may be opportunities to broaden nurses' scope of practice to act more autonomously to prevent wound complication.Reporting MethodScoping Reviews (PRISMA‐ScR) checklist.Patient or Public ContributionA health consumer interpreted the data and prepared the manuscript.

show abstract

Section: Resultsmentioning

confidence: 99%

Post‐operative nursing activities to prevent wound complications in patients undergoing colorectal surgeries: A scoping review

Tobiano,

Chaboyer,

Tong

et al. 2023

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…There are various drainage methods, including continuous pelvic irrigation and drainage, continuous irrigation and drainage through the anal catheter, combined pelvic irrigation and drainage through anus, and endoscopic transanal rectal closure with negative-pressure drainage. 23–27 These drainage methods all focus on the design of the drainage tube and the selection of the drainage method. Few people assess the anastomosis and leakage before drainage.…”

Section: Discussionmentioning

confidence: 99%

Application of Transurethral Prostate Resection Instrumentation for Treating Low Rectal Anastomotic Leakage: A Pilot Study

Zhang¹,

Hu²,

Qin³

et al. 2022

CMAR

View full text Add to dashboard Cite

Purpose To determine an accurate method of inspecting low anastomotic leakages and application of transurethral prostate resection instrumentation for treating low rectal anastomotic leakage. Patients and Methods Clinical data of eight patients treated for anastomotic leakage after rectal cancer surgery at Zhangye People’s Hospital (affiliated to Hexi University), from August 2019 to November 2021, were retrospectively analyzed. Transanal prostate resection instrumentation was used to assess the leakage and surrounding conditions. Using prostate resection instrumentation, the presacral and perirectal residual cavities were washed and removed, and indwelling suprapubic presacral, transanal presacral, and rectal drainage tubes were placed. Continuous presacral saline irrigation and drainage and open negative-pressure suction in the rectal cavity were performed until the patients’ fistula healed. Results Of the eight patients with anastomotic leakages, one had grade B and seven had grade C International Study Group of Rectal Cancer anastomotic leakage classifications following Dixon operation. Transanal prostate resection instrumentation showed that the leakage of the one patient with grade B was less than a third of the circumference of the anastomosis. Among the seven patients with grade C, one leakage was less than a third of the anastomotic circumference. One patient had complete separation of the anastomosis and one distal colon necrosis, which necessitated immediate descending colostomy. Conservative treatment was successful in six patients; the conservative overall cure rate was 75%, and the median healing time was 43 (21–68) days. Conclusion Transanal examination of rectal anastomotic leakage using prostate resection instrumentation is comprehensive, easy to perform, provides clear visualization, accurately guides catheter placement, and can be combined with continuous open negative-pressure drainage, which is a safe, convenient, and effective method for treating low rectal leakage.

show abstract

“…We adopted NPWTi-d for mild-moderate omphalocele case because we expected that NPWTi-d contributed to reducing the incidence of infection. Prophylactic NPWTi-d has not fully demonstrated effectiveness in preventing infection; however, the effectiveness of NPWTi-d in reducing surgical site infection has recently been reported [ 30 ]. NPWTi-d is theoretically effective in preventing infection; hence, routine use of NPWTi-d can contribute to decreasing infection in mild-moderate omphalocele cases.…”

Section: Discussionmentioning

confidence: 99%

Combined negative pressure wound therapy with irrigation and dwell time and artificial dermis prevents infection and promotes granulation formation in a ruptured giant omphalocele: a case report

Nakagawa

Uchida²,

Hinoki³

et al. 2022

BMC Pediatr

View full text Add to dashboard Cite

Background Omphalocele is a congenital abdominal wall defect of the umbilical cord insertion site. A giant omphalocele, with a fascial defect > 5 cm in diameter and/or containing > 50% of the liver within the hernia sac, can be challenging for pediatric surgeons. Recently, negative pressure wound therapy has been reported as an effective management for giant omphaloceles; however, it is not recommended for an infected wound with necrotic tissue as it may exacerbate infection. We adopted negative pressure wound therapy with irrigation and dwell time (NPWTi-d) for a case of a ruptured giant omphalocele. Artificial membranes, followed by artificial dermis, were used to promote fibrous capsule formation, and then NPWTi-d was used to promote granulation while controlling infection. However, studies have not been conducted regarding NPWTi-d for ruptured giant omphaloceles; hence, we present our treatment experience with NPWTi-d for a giant omphalocele. Case presentation The patient was a boy born at 38 weeks and 3 days of gestation, weighing 1896 g. He was diagnosed with a ruptured giant omphalocele with a total liver and intestine defect hole of 10 cm × 10 cm. The patient underwent silo placement using an artificial mesh, followed by plicating the artificial mesh at 4 days of age. The herniated viscera were gradually reduced into the abdominal cavity; however, the defect size was still large. Hence, a collagen-based artificial dermis was patched on the defect hole. After creating a fresh and smooth granulated tissue, NPWTi-d was applied at 33 days of age to promote granulation and control infection. We used the 3 M™ V.A.C.® Ulta Therapy Unit with 3 M™ VeraFlo™ therapy. NPWTi-d was stopped at 60 days of age when the granulation tissue was well formed including at the artificial dermis site. The wound was managed with prostandin ointment and appropriate debridement, resulting in complete epithelialization at 5 months of age. Conclusions Artificial membranes followed by artificial dermis were used to promote a fibrous capsule and artificial dermis granulation, which protects against organ damage. NPWTi-d achieved better control of infection and promoted wound healing. NPWTi-d combined with artificial dermis can effectively treat ruptured giant omphaloceles.

show abstract

Continuous Negative Pressure Drainage with Intermittent Irrigation Leaded to a Risk Reduction of Perineal Surgical Site Infection Following Laparoscopic Extralevator Abdominoperineal Excision for Low Rectal Cancer

Cited by 5 publications

References 39 publications

Post‐operative nursing activities to prevent wound complications in patients undergoing colorectal surgeries: A scoping review

Post‐operative nursing activities to prevent wound complications in patients undergoing colorectal surgeries: A scoping review

Application of Transurethral Prostate Resection Instrumentation for Treating Low Rectal Anastomotic Leakage: A Pilot Study

Combined negative pressure wound therapy with irrigation and dwell time and artificial dermis prevents infection and promotes granulation formation in a ruptured giant omphalocele: a case report

Contact Info

Product

Resources

About