Surgical Site Infection Following Single-Port Appendectomy: A Systematic Review of the Literature and Meta-Analysis

Köhler, Franziska; Reese, Lena; Kastner, Carolin; Hendricks, Anne; Müller, Sophie; Lock, Johan Friso; Germer, Christoph‐Thomas; Wiegering, Armin

doi:10.3389/fsurg.2022.919744

Cited by 5 publications

(3 citation statements)

References 52 publications

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“…The incidence of PSI is quite variable from one study to another. [14][15][16] Differences among the studies can be attributed to differences in the population, infection control and sterilization techniques that could differ from place to place. The incidence of PSI in our study is higher than that reported in other studies.…”

Section: Discussionmentioning

confidence: 99%

The effect of triclosan‐coated sutures on the incidence of surgical site infection in laparoscopic sleeve gastrectomy, laparoscopic appendicectomy or laparoscopic cholecystectomy: A multi‐centre, double‐blind, randomized, intra‐individual study

Erfan,

Thabet,

Rageh

et al. 2023

International Wound Journal

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Surgical site infection (SSI) is a common cause of post‐operative morbidity. According to the latest report announced by CDC, the SSI accounts for 20% of healthcare‐associated infection with a high risk of mortality up to twofold to 11‐fold increase with high economic burden for the prolonged hospital stay. Port site infection (PSI) is a subgroup of SSI occurring at the ports of laparoscopy. We tried to determine the efficacy of polyglactin 910 suture coated with triclosan in lowering the rate of PSI in some of the clean‐contaminated wound surgeries. This study included 480 individuals eligible for laparoscopic cholecystectomy, appendicectomy or sleeve operations. Polyglactin 910 sutures coated with triclosan were used in one port site incision while polyglactin 910 sutures were used in the other port sites incisions. In patients who underwent laparoscopic cholecystectomy and appendicectomy, the incidence of PSI was significantly lower in the triclosan‐coated sutures. In sleeve gastrectomy patients, although a lower number of triclosan‐coated sutures developed PSI, there was no statistically significant difference between triclosan and non‐triclosan‐coated sutures. This study showed that using sutures coated with antiseptics like triclosan has clinical benefits to prevent SSIs in most of the laparoscopic surgeries.

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Section: Discussionmentioning

confidence: 99%

The effect of triclosan‐coated sutures on the incidence of surgical site infection in laparoscopic sleeve gastrectomy, laparoscopic appendicectomy or laparoscopic cholecystectomy: A multi‐centre, double‐blind, randomized, intra‐individual study

Erfan,

Thabet,

Rageh

et al. 2023

International Wound Journal

View full text Add to dashboard Cite

show abstract

“…Zhao et al ( 23 ) conducted a meta-analysis of 12 pediatric appendectomy procedures and found that compared with THLA, SILA significantly shortened the hospitalization time, but there was no significant difference in surgical time or other aspects. A meta-analysis conducted by Köhler et al ( 24 ) included a total of 20 studies, and the results showed that extracorporeal SILA seemed to have the advantage of a shorter surgical time, while in vitro / in vivo SILA showed no significant difference in safety compared to THLA. Aly ( 25 ) found that traditional laparoscopic appendectomy is significantly better than SILA in terms of surgical time and intraoperative conversion rate.…”

Section: Discussionmentioning

confidence: 99%

Single-incision laparoscopic appendectomy versus traditional three-hole laparoscopic appendectomy for acute appendicitis in children by senior pediatric surgeons: a multicenter study from China

et al. 2023

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ObjectiveThe aim of this study was to evaluate the clinical efficacy of single-incision laparoscopy appendectomy (SILA) and traditional three-hole laparoscopy appendectomy (THLA) for the treatment of acute appendicitis in children.MethodsThe clinical data of children (<14 years old) who underwent laparoscopic appendectomy at Yijishan Hospital of Wannan Medical College, Hubei Provincial Maternal Health Hospital and Qingdao Women and Children's Medical Center from January 2019 to June 2022 were retrospectively analyzed. According to the operation method, the patients were assigned to the SILA group or the THLA group. The clinical data, including the efficacy, and the surgical details, including the complications, of the two surgical methods were compared. The personal information of the children and the time of disease onset were recorded.ResultsIn this study, the data of 588 patients, including 385 patients in the THLA group and 203 patients in the SILA group were collected. The baseline characteristics between the two groups of patients before surgery were comparable. There was no significant difference in the average operation time between the THLA group and the SILA group (56.31 ± 1.83 min vs. 57.48 ± 1.15 min, P > 0.05). There was also no significant difference in the average length of hospital stay between the THLA group and the SILA group (6.91 ± 0.24 days vs. 7.16 ± 0.36 days, P > 0.05). However, the FLACC scores of the SILA group (3.71 ± 0.78) were significantly lower than those of the THLA group (3.99 ± 0.56) on the second postoperative day, and the difference was significant (P < 0.05). The score of the questionnaire evaluating cosmetic appearance of the postoperative abdomen was significantly higher in the SILA group (15.81 ± 0.36) than in the THLA group (13.10 ± 0.24) (P < 0.05). There was no significant difference in the incidence of postoperative complications between the two groups (P > 0.05).ConclusionSILA is more advantageous in terms of postoperative FLACC scores and cosmetic appearance in children than THLA. There was no significant difference in the incidence of complications or other aspects between the two surgical methods.

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“…26 Garijo et al 32 reported using a 1.5-cm concealed transverse incision on the pubic bone that provided a good surgical field. Although single-port laparoscopic surgery has been shown not to increase the risk of surgical site infection, 38 its long-term cosmetic outcome remains controversial and needs to be validated in long-term follow-up studies. 39 Lowering surgical cost may reduce the economic burden of patients and improve cost-effectiveness.…”

Section: Optimal Surgical Treatment Strategy For Patients With Acute ...mentioning

confidence: 99%

A brief overview of single-port laparoscopic appendectomy as an optimal surgical procedure for patients with acute appendicitis: still a long way to go

et al. 2023

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Single-port laparoscopic appendectomy (SPLA) has become a good alternative to the traditional surgical treatment of acute appendicitis, due to its advantages of small incision, mild postoperative pain, short hospital stay, and good cosmetic effect. However, the further application of SPLA has been restricted by its relatively long operating time, high level of operating difficulty, and increased equipment and technical requirements. Clinical teams worldwide have attempted to improve and optimize SPLA technical protocols and equipment to maintain stable intraoperative pneumoperitoneal pressure, improve the ‘triangle relationship’ of operating angles, and develop new surgical procedures with less trauma and higher cost-effectiveness. Here, new SPLA techniques reported over the past decade are reviewed and compared, with the aim of providing new insights into technical improvements, equipment upgrades and clinical studies in the coming years.

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Surgical Site Infection Following Single-Port Appendectomy: A Systematic Review of the Literature and Meta-Analysis

Cited by 5 publications

References 52 publications

The effect of triclosan‐coated sutures on the incidence of surgical site infection in laparoscopic sleeve gastrectomy, laparoscopic appendicectomy or laparoscopic cholecystectomy: A multi‐centre, double‐blind, randomized, intra‐individual study

The effect of triclosan‐coated sutures on the incidence of surgical site infection in laparoscopic sleeve gastrectomy, laparoscopic appendicectomy or laparoscopic cholecystectomy: A multi‐centre, double‐blind, randomized, intra‐individual study

Single-incision laparoscopic appendectomy versus traditional three-hole laparoscopic appendectomy for acute appendicitis in children by senior pediatric surgeons: a multicenter study from China

A brief overview of single-port laparoscopic appendectomy as an optimal surgical procedure for patients with acute appendicitis: still a long way to go

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