Abstract
Background. We developed a Protocol based on the results of a previous study of risk factors for infection of a postoperative wound: do not use monopolar coagulation on the skin and subcutaneous fat; remove hemostatic material from the wound; relax the established wound expander every 65 minutes; refuse to suture the muscles in the area of laminectomy, refuse to use an intradermal suture.The study objective is a verification of the received Protocol.Materials and methods. A comprehensive retrospective cohort study evaluated the results of surgical treatment of 575 spinal patients who were under the authors’ supervision in 2014–2016. Patients were divided into groups: operated in the period from 2014 to 2016 (control group), operated in 2017, in the treatment of which the Protocol for reducing complications was applied (main group).Results. It was found that after the introduction of the Protocol, the percentage of patients with postoperative wound infection decreased from 6.0 to 1.3 %.Conclusion. The resulting Protocol is an effective tool for reducing wound infection and can be recommended for prevention of the postoperative wound infection in patients with spinal with diseases and injuries.
Highlights
We developed a Protocol based on the results of a previous study of risk factors for infection of a postoperative wound: do not use monopolar coagulation on the skin and subcutaneous fat; remove hemostatic material from the wound; relax the established wound expander every 65 minutes; refuse to suture the muscles in the area of laminectomy, refuse to use an intradermal suture
Chahoud J., Kanafani Z., Kanj S.S. Surgical site infections following spine surgery: eliminating the controversies in the diagnosis
Summary
Цель исследования – верификация протокола профилактики нагноения послеоперационных ран. В ходе сплошного ретроспективного когортного исследования были оценены результаты хирургического лечения 575 пациентов с травмами и заболеваниями позвоночника, находившихся под наблюдением в 2014–2016 гг. (группа сравнения) и оперированные в 2017 г., при лечении которых был применен новый протокол профилактики осложнений (основная группа). Доля пациентов с нагноением послеоперационной раны в группе сравнения составила 6 %, а в основной – 1,3 %. Рассматриваемый протокол является эффективным средством снижения периоперационных осложнений и может быть рекомендован для профилактики нагноений послеоперационных ран у пациентов с заболеваниями и травмами позвоночника. Результаты применения протокола профилактики нагноения послеоперационных ран у пациентов с заболеваниями и травмами позвоночника.
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