Use of a subcutaneous closed drainage system and antibiotics in obese gynecologic patients

Gallup, Deborah C.; Gallup, Donald G.; Nolan, Thomas E.; Smith, Roger P.; Messing, Mark F.; Kline, Kerry L.

doi:10.1016/s0002-9378(96)70146-1

Cited by 56 publications

(41 citation statements)

References 7 publications

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“…Therefore, their use should be driven by a proven benefit. One systematic review [89] and several RCTs [90][91][92][93][94][95][96][97][98] on the use of subcutaneous drains in abdominal surgery were found. They cover a wide range of operative indications: liver surgery, colorectal surgery, cholecystectomy, gynaecological surgery, caesarean section, and gastric bypass surgery.…”

Section: Subcutaneous Drains In Laparotomy Incisionsmentioning

confidence: 99%

European Hernia Society guidelines on the closure of abdominal wall incisions

Muysoms

Antoniou

Bury

et al. 2015

Hernia

488

406

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Section: Subcutaneous Drains In Laparotomy Incisionsmentioning

confidence: 99%

European Hernia Society guidelines on the closure of abdominal wall incisions

Muysoms

Antoniou

Bury

et al. 2015

Hernia

488

406

View full text Add to dashboard Cite

show abstract

“…There are no studies on usage of subcutaneous closed suction drain in emergency laparotomies for perforative peritonitis in the literature. However, similar studies using subcutaneous closed suction drain have been done for colorectal surgeries, caesarean delivery and other elective abdominal surgeries 13,[15][16][17][18][19][20][21] . In a study conducted by Ahmet et.…”

Section: Methodsmentioning

confidence: 99%

“…In a cohort study, Chowdri et al 16 reported reduction in seroma formation in obese patients undergoing elective cholecystectomy after using subcutaneous drain (8.8% in study group vs. 33.6% in control group). Gallup et al 17 in their prospective study on 197 patients concluded that use of subcutaneous drains plus prophylactic antibiotics may decrease wound related complication rate when operating on obese gynecologic patients (20% in study group vs. 31% in control group). Kaya et al 18 in a randomised clinical trial comprising of 210 patients undergoing elective abdominal surgeries evaluated whether subcutaneous closedsuction drainage affects surgical site infection rate.…”

Section: Methodsmentioning

confidence: 99%

Role of subcutaneous closed vacuum drain in preventing surgical site infection in emergency surgery for perforative peritonitis: A randomized control study

Kumar

Chatterjee

Gupta

et al. 2017

Bangladesh J Med Sci

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Abstract:Objective: The aim of our study was to evaluate whether insertion of a subcutaneous closed suction vacuum drain at incisional surgical site reduces the incidence of surgical site infection (SSI) in post operative cases of exploratory laparotomy for perforative peritonitis. Methods: An institutional based randomized control study was performed with two hundred patients each included in the study (with drain) and control (without drain) group. Both groups were statistically similar in terms of various variables and thus comparable. All continuous variables were reported as mean ± SD and compared across groups using unpaired t-test. All categorical variables were reports as n (%) compared across groups using Chi-square test for independence of attributes. Result: Use of a subcutaneous closed suction vacuum drain results in statistically significant reduction in wound infection (58% vs 16%; p < 0.001). The most common organism causing SSI was found to be Escherichia Coli accounting for 62.5% and 62.7% of cases in drain group and control group respectively, followed by Klebsiella (12.5% vs 24.14%). Conclusion: Use of a subcutaneous closed suction vacuum drain is effective in reducing SSI in contaminated surgery like that for perforative peritonitis and also leads to reduction in SSI related complications like wound disruption, patient discomfort, bad cosmesis, prolonged hospital stay, antibiotic use and increased cost.

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“…However, neither of the studies evaluated antibiotic use for the entire duration of drainage, but rather no longer than 12 hours postoperatively [73,117]. Another article reported an association of less frequent wound breakdown in drained wounds with antibiotic use in obese gynecologic patients [41].…”

Section: Antibiotics For Wound Drainage and Drainsmentioning

confidence: 99%

Myths and Legends in Orthopaedic Practice: Are We All Guilty?

Tejwani

Immerman

2008

Clinical Orthopaedics &Amp; Related Research

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Over years of practice, many beliefs and practices become entrenched as tried and tested, and we subconsciously believe they are based on scientific evidence. We identified nine such beliefs by interviewing orthopaedic surgeons in which studies (or lack thereof) apparently do not support such practices. These are: changing the scalpel blade after the skin incision to limit contamination; bending the patient's knee when applying a thigh tourniquet; bed rest for treatment of deep vein thrombosis; antibiotics in irrigation solution; routine use of hip precautions; routine use of antibiotics for the duration of wound drains; routine removal of hardware in children; correlation between operative time and infection; and not changing dressings on the floor before scrubbing. A survey of 186 practicing orthopaedic surgeons in academic and community settings was performed to assess their routine practice patterns. We present the results of the survey along with an in-depth literature review of these topics. Most surgeon practices are based on a combination of knowledge gained during training, reading the literature, and personal experience. The results of this survey hopefully will raise the awareness of the selected literature for common practices.

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Use of a subcutaneous closed drainage system and antibiotics in obese gynecologic patients

Cited by 56 publications

References 7 publications

European Hernia Society guidelines on the closure of abdominal wall incisions

European Hernia Society guidelines on the closure of abdominal wall incisions

Role of subcutaneous closed vacuum drain in preventing surgical site infection in emergency surgery for perforative peritonitis: A randomized control study

Myths and Legends in Orthopaedic Practice: Are We All Guilty?

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