Role of single or double ringed circumferential wound protectors in reducing surgical site infections following colorectal resections. A systematic review

Nour, Hussameldin M; Ahsan, Amiya; Peristeri, Dimitra; Osifo, Samuelson E.; Singh, Mr Krishna K; Sajid, Mr Muhammad S

doi:10.1016/j.amsu.2022.104656

Cited by 2 publications

(1 citation statement)

References 39 publications

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“…For example, RCTs such as [15-18, 20, 21, 23, 24] proved the significant clinical benefit of WEPs, while RCTs such as [14,19,22,25] reported that WEPs did not provide effective protection against SSI after abdominal surgery. In addition, previous systematic reviews and meta-analyses [26][27][28][29] reported contradictory conclusions regarding the use of WEPs in reducing the incidence of SSIs in patients undergoing abdominal surgery, necessitating our current re-evaluation. This meta-analysis demonstrates the clinical efficacy of WEPs in preventing SSIs in patients undergoing various abdominal surgical procedures based on the credible evidence.…”

Section: Introductionmentioning

confidence: 99%

The efficacy of wound edge protectors in reducing the post-operative surgical site infections after abdominal surgery: a meta-analysis of randomized clinical studies.

Zhu,

Jiang

2023

Videosurgery and Other Miniinvasive Techniques

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Introduction Following abdominal surgery, surgical site infections (SSIs) are a common complication. The effectiveness of wound edge protectors in preventing SSI remains uncertain. Aim To determine the clinical effectiveness of a wound edge protector (WEP) in preventing surgical site infections (SSIs) after abdominal surgery. Material and methods A systematic search of the Cochrane Library, PubMed, Embase, and Web of Science yielded all relevant articles published through October 2022. The major evidence regarding the efficacy of WEPs in minimizing SSIs in abdominal surgery patients relative to the standard of care was determined by searching the literature. The primary outcome was SSI as clinically defined by CDC. To combine qualitative factors, risk ratios (RRs) were used. Results WEPs were related to a decreased incidence of SSI overall (RR = 0.75; 95% CI: 0.61–0.91; p = 0.004). WEPs are efficient in lowering the incidence of SSI at various abdominal surgical sites, with RR = 0.67; 95% CI: 0.47–0.96; p = 0.03 for pancreatoduodenectomy, RR = 0.52; 95% CI: 0.31–0.86; p = 0.01 for colorectal surgery, and RR = 0.39; 95% CI: 0.21–0.73; p = 0.003 for abdominal surgery. Moreover, both kinds of WEPs (single-ring and double-ring devices) were successful in lowering the risk of SSIs, with RR = 0.66; 95% CI: 0.47–0.93; p = 0.02 for double-ring devices and RR = 0.76; 95% CI: 0.58–0.98; p = 0.04 for single-ring devices. Conclusions These findings demonstrate that double- and single-ring wound edge protection devices are effective in preventing surgical site infections following pancreatoduodenectomy, colorectal, and abdominal procedures.

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Section: Introductionmentioning

confidence: 99%

The efficacy of wound edge protectors in reducing the post-operative surgical site infections after abdominal surgery: a meta-analysis of randomized clinical studies.

Zhu,

Jiang

2023

Videosurgery and Other Miniinvasive Techniques

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Surgical Site Infections in Colorectal Cancer Surgeries: A Systematic Review and Meta-Analysis of the Impact of Surgical Approach and Associated Risk Factors

Calu,

Piriianu,

Miron

et al. 2024

Life

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Background: Surgical site infections (SSIs) represent a noteworthy contributor to both morbidity and mortality in the context of patients who undergo colorectal surgery. Several risk factors have been identified; however, their relative significance remains uncertain. Methods: We conducted a meta-analysis of observational studies from their inception up until 2023 that investigated risk factors for SSIs in colorectal surgery. A random-effects model was used to pool the data and calculate the odds ratio (OR) and 95% confidence interval (CI) for each risk factor. Results: Our analysis included 26 studies with a total of 61,426 patients. The pooled results showed that male sex (OR = 1.45), body mass index (BMI) ≥ 25 kg/m2 (OR = 1.09), American Society of Anesthesiologists (ASA) score ≥ 3 (OR = 1.69), were all independent risk factors for SSIs in colorectal surgery. Conversely, laparoscopic surgery (OR = 0.70) was found to be a protective factor. Conclusions: The meta-analysis conducted revealed various risk factors, both modifiable and non-modifiable, associated with surgical site infections (SSIs) in colorectal surgery. These findings emphasize the significance of targeted interventions, including optimizing glycemic control, minimizing blood loss, and using laparoscopic techniques whenever feasible in order to decrease the occurrence of surgical site infections in this particular group of patients.

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Role of single or double ringed circumferential wound protectors in reducing surgical site infections following colorectal resections. A systematic review

Cited by 2 publications

References 39 publications

The efficacy of wound edge protectors in reducing the post-operative surgical site infections after abdominal surgery: a meta-analysis of randomized clinical studies.

The efficacy of wound edge protectors in reducing the post-operative surgical site infections after abdominal surgery: a meta-analysis of randomized clinical studies.

Surgical Site Infections in Colorectal Cancer Surgeries: A Systematic Review and Meta-Analysis of the Impact of Surgical Approach and Associated Risk Factors

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