Effects of Subcutaneous Jackson-Pratt Drain on Incisional Surgical Site Infection after Open Colorectal Resection for Ca
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ORIGINAL ARTICLE
Effects of Subcutaneous Jackson-Pratt Drain on Incisional Surgical Site Infection after Open Colorectal Resection for Cancer: a Prospective, Randomized, Multicenter Clinical Study Kemal Arslan 1,2 & İsmail Hasırcı 2 & Gürcan Şimşek 2 & Ikram Abdikarim İbrahim 1 & Alparslan Şahin 2 & Mehmet Ali Eryılmaz 2 & Murat Altınkaynak 2 & Adil Kartal 2 Received: 12 February 2020 / Accepted: 14 May 2020 # Association of Surgeons of India 2020
Abstract Incisional surgical site infections (SSI) are an important problem in patients undergoing surgery. The aim of the present study is to compare the effects of Jackson Pratt (JP) drain placement in patients with and without drains on incisional SSI after colorectal resection for cancer. The trial was designed as a prospective, randomized, controlled multicenter study. Patients who underwent colorectal resection for cancer were included in the study. Patients were randomized to subcutaneous JP drain group or control group (ND). The primary outcome was the presence of SSI. A total of 182 patients (89 in the JP group and 93 in the ND group) were analyzed. There was no significant difference between the groups in terms of demographic and surgical characteristics. SSI developed in 5.6% of patients in the JP group and in 19.4% of those in the ND group (p < 0.005). Obesity, thick subcutaneous adipose tissue, long operation time, and being > 70 years of age were the identified risk factors for incisional SSI. This study showed that elderly and obese patients and those with thick subcutaneous fat tissue should be placed JP drains to prevent SSI in open colorectal resections for cancer. Keywords Surgical site infection . Colorectal resection . Jackson-Pratt drain
Introduction The aim of the present study is to compare the effects of prophylactic subcutaneous Jackson Pratt (JP) drain placement in patients with or without drains on incisional surgical site infections (SSI) after open colorectal resection in cancer. Incisional SSIs are an important problem in patients undergoing surgery. It was reported that incisional SSI developed in
nearly 5% of all patients after surgery, and in up to 45% of all patients undergoing colorectal surgery [1–6]. Furthermore, many more cases are not identified because of inadequate postoperative surveillance. Patients who develop incisional SSI have longer hospital length of stay, higher readmission rates, higher rate of subsequent procedures, poorer quality of life, and delay in adjuvant treatment. This results in significant healthcare cost. Despite the preventive measures such as
* Kemal Arslan [email protected]
Mehmet Ali Eryılmaz [email protected] Murat Altınkaynak [email protected]
İsmail Hasırcı [email protected]
Adil Kartal [email protected]
Gürcan Şimşek [email protected] Ikram Abdikarim İbrahim [email protected] Alparslan Şahin [email protected]
1
Department of Surgery, University Of Health Sciences Turkey, Mogadishu-Somalia Education and Research Hospital, Mogadishu, Somalia
2
Departmen
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