The relationship of cigarette smoking to impaired intraoral wound healing: A review of evidence and implications for patient care

Jones, John; Triplett, R. Gilbert

doi:10.1016/0278-2391(92)90318-t

Cited by 175 publications

(114 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It is well established that nicotine use delays primary wound healing and increases the risk of SSI by reducing the amount of oxygen carried to the wound by red blood cells (22,23). Also in our study smoking history was significantly more common in the SSI (+) group.…”

Section: Discussionsupporting

confidence: 68%

Factors affecting surgical site infection rate after elective gastric cancer surgery

Özmen

Javadov

Yeğen

2016

UCD

View full text Add to dashboard Cite

Objective: Surgical site infection (SSI) is a common complication after surgery and is an indicator of quality of care. Risk factors for SSI are studied thoroughly for most types of gastrointestinal surgeries and especially colorectal surgeries, but accumulated data is still lacking for gastric surgeries. We studied the parameters affecting SSI rate after gastric cancer surgery. Material and Methods:Consecutive patients, who underwent elective gastric cancer surgery between June and December 2013, were included. Descriptive parameters, laboratory values and past medical histories were recorded prospectively. All patients were followed for 1 month. Recorded parameters were compared between the SSI (+) and SSI (-) groups.Results: Fifty-two patients (mean age: 58.87±9.25 ; 67% male) were included. SSI incidence was 19%. ASA score ≥3 (p<0.001), postoperative weight gain (p<0.001), smoking (p=0.014) and body mass index (BMI) ≥30 (p=0.025) were related with a higher SSI incidence. Also patients in the SSI (+) group had a higher preoperative serum C-reactive protein level (p=0.014). Conclusion:We assume that decreasing BMI to <30, stopping smoking at least 3 weeks before the operation, and preventing postoperative weight gain by avoiding excessive intravenous hydration will all help decrease SSI rate after gastric surgery. Keywords: Gastric cancer, surgical site infection, risk factors INTRODUCTIONThe incidence of gastric cancer has been decreasing throughout the last decades after effective eradication of Helicobacter pylori infection, improved sanitation, refrigeration and a shift towards the consumption of fresh fruit and vegetables rather than red meat and high fat diet (1, 2). Nevertheless, gastric cancer still remains to be the third most common cause of cancer related deaths (3), and gastric cancer surgery is a commonly performed surgery in especially busy tertiary care centers.Surgical site infections (SSI) are responsible for 38% of nosocomial infections (4, 5), and is one of the most prominent morbidity after gastric surgery. Surgical site infections causes prolonged hospitalization and increased surgery related costs (6, 7). ASA score, wound classification and duration of the operation are the 3 SSI-related factors established by the National Nosocomial Infection Surveillance (NNIS) (8-10). Risk factors for SSI are studied thoroughly for most types of gastrointestinal surgeries and especially colorectal surgeries, but accumulated data is still lacking for gastric surgeries (11, 12).Our hospital is a tertiary care center with more than 200 gastric cancer surgeries a year. In our clinic, we experience a higher SSI rate than the stated rate (3-16%) for gastric surgeries in the literature (13)(14)(15). In this study, our goal is to determine the factors affecting SSI rate after gastric surgery. MATERIAL AND METHODS Patients and Study DesignThe subjects of our prospective observational cohort study were consecutive patients who underwent elective gastric surgery (distal subtotal or total gastrectomy with D2 lymph...

show abstract

Section: Discussionsupporting

confidence: 68%

Factors affecting surgical site infection rate after elective gastric cancer surgery

Özmen

Javadov

Yeğen

2016

UCD

View full text Add to dashboard Cite

show abstract

“…In a large prospective study, current cigarette smoking was an independent risk factor for sternal and/or mediastinal SSI following cardiac surgery 15 . Other studies have corroborated cigarette smoking as an important SSI risk factor [16][17] . CONCLUSION  This study comprised of 528 patients admitted to the hospital on elective / emergency basis out of which 64 patients had post-operative wound infection.…”

Section: B) Smokingmentioning

confidence: 89%

Postoperative Wound Infection in Surgical Ward

Satyam¹

2016

jmscr

View full text Add to dashboard Cite

“…Smokeless tobacco use has been recognized as a cause of cancer [31]. Other oral effects of smokeless tobacco include leukoplakia, periodontal disease, and delayed wound healing and dental caries [32][33][34][35][36]. Individual cases of ANUG, gingivitis and periodontitis have also been reported [37], but a clear relationship does not exist between a generalized periodontal condition and smokeless tobacco use [32,38].…”

Section: Health Behavioursmentioning

confidence: 99%

Healthy Lifestyle For Healthy Gums

N¹

2014

Dentistry

View full text Add to dashboard Cite

When we think about dental health, focus is likely to be on preventing cavities, caries and decayed teeth but it's important to pay attention to gums too. Gums play a major role not only in dental health, but in overall well-being of a person. Gingival disease begins with bacterial growth in the mouth and may end-if not properly treated-with tooth loss due to destruction of the surrounding tissue.

show abstract

The relationship of cigarette smoking to impaired intraoral wound healing: A review of evidence and implications for patient care

Cited by 175 publications

References 14 publications

Factors affecting surgical site infection rate after elective gastric cancer surgery

Factors affecting surgical site infection rate after elective gastric cancer surgery

Postoperative Wound Infection in Surgical Ward

Healthy Lifestyle For Healthy Gums

Contact Info

Product

Resources

About