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Umbilical Negative Pressure Dressing for Transumbilical Appendectomy in Childern
BACKGROUND AND OBJECTIVES: Transumbilical laparoscopic-assisted appendectomy (TULAA) carries a high risk for surgical site infection. We investigated the effect of a bio-occlusive umbilical vacuum dressing on wound infection rates after TULAA for patients with acute appendicitis and compared to it w...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Society of Laparoendoscopic Surgeons
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5081401/ https://www.ncbi.nlm.nih.gov/pubmed/27807398 http://dx.doi.org/10.4293/JSLS.2016.00070 |
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author | Seifarth, Federico G. Kundu, Neilendu Guerron, Alfredo D. Garland, Mary M. Gaffley, Michaela W. G. Worley, Sarah Knight, Colin G. |
author_facet | Seifarth, Federico G. Kundu, Neilendu Guerron, Alfredo D. Garland, Mary M. Gaffley, Michaela W. G. Worley, Sarah Knight, Colin G. |
author_sort | Seifarth, Federico G. |
collection | PubMed |
description | BACKGROUND AND OBJECTIVES: Transumbilical laparoscopic-assisted appendectomy (TULAA) carries a high risk for surgical site infection. We investigated the effect of a bio-occlusive umbilical vacuum dressing on wound infection rates after TULAA for patients with acute appendicitis and compared to it with a conventional 3-port appendectomy with a nonvacuum dressing. METHODS: This study was a retrospective chart review of 1377 patients (2–20 years) undergoing laparoscopic appendectomy for acute appendicitis in 2 tertiary care referral centers from January 2007 through December 2012. Twenty-two different operative technique/dressing variations were documented. The 6 technique/dressing groups with >50 patients were assessed, including a total of 1283 patients. RESULTS: The surgical site infection rate of the 220 patients treated with TULAA and application of an umbilical vacuum dressing with dry gauze is 1.8% (95% CI, 0.0–10.3%). This compares to an infection rate of 4.1% (95% CI, 1.3–10.5%) in 97 patients with dry dressing without vacuum. In the 395 patients who received an umbilical vacuum dressing with gauze and bacitracin, the surgical site infection rate was found to be 4.3% (95% CI, 2.7–6.8%). CONCLUSIONS: Application of an umbilical negative-pressure dressing with dry gauze lowers the rate of umbilical site infections in patients undergoing transumbilical laparoscopic-assisted appendectomy for acute appendicitis. |
format | Online Article Text |
id | pubmed-5081401 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Society of Laparoendoscopic Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-50814012016-11-02 Umbilical Negative Pressure Dressing for Transumbilical Appendectomy in Childern Seifarth, Federico G. Kundu, Neilendu Guerron, Alfredo D. Garland, Mary M. Gaffley, Michaela W. G. Worley, Sarah Knight, Colin G. JSLS Scientific Papers BACKGROUND AND OBJECTIVES: Transumbilical laparoscopic-assisted appendectomy (TULAA) carries a high risk for surgical site infection. We investigated the effect of a bio-occlusive umbilical vacuum dressing on wound infection rates after TULAA for patients with acute appendicitis and compared to it with a conventional 3-port appendectomy with a nonvacuum dressing. METHODS: This study was a retrospective chart review of 1377 patients (2–20 years) undergoing laparoscopic appendectomy for acute appendicitis in 2 tertiary care referral centers from January 2007 through December 2012. Twenty-two different operative technique/dressing variations were documented. The 6 technique/dressing groups with >50 patients were assessed, including a total of 1283 patients. RESULTS: The surgical site infection rate of the 220 patients treated with TULAA and application of an umbilical vacuum dressing with dry gauze is 1.8% (95% CI, 0.0–10.3%). This compares to an infection rate of 4.1% (95% CI, 1.3–10.5%) in 97 patients with dry dressing without vacuum. In the 395 patients who received an umbilical vacuum dressing with gauze and bacitracin, the surgical site infection rate was found to be 4.3% (95% CI, 2.7–6.8%). CONCLUSIONS: Application of an umbilical negative-pressure dressing with dry gauze lowers the rate of umbilical site infections in patients undergoing transumbilical laparoscopic-assisted appendectomy for acute appendicitis. Society of Laparoendoscopic Surgeons 2016 /pmc/articles/PMC5081401/ /pubmed/27807398 http://dx.doi.org/10.4293/JSLS.2016.00070 Text en © 2016 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/us/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way. |
spellingShingle | Scientific Papers Seifarth, Federico G. Kundu, Neilendu Guerron, Alfredo D. Garland, Mary M. Gaffley, Michaela W. G. Worley, Sarah Knight, Colin G. Umbilical Negative Pressure Dressing for Transumbilical Appendectomy in Childern |
title | Umbilical Negative Pressure Dressing for Transumbilical Appendectomy in Childern |
title_full | Umbilical Negative Pressure Dressing for Transumbilical Appendectomy in Childern |
title_fullStr | Umbilical Negative Pressure Dressing for Transumbilical Appendectomy in Childern |
title_full_unstemmed | Umbilical Negative Pressure Dressing for Transumbilical Appendectomy in Childern |
title_short | Umbilical Negative Pressure Dressing for Transumbilical Appendectomy in Childern |
title_sort | umbilical negative pressure dressing for transumbilical appendectomy in childern |
topic | Scientific Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5081401/ https://www.ncbi.nlm.nih.gov/pubmed/27807398 http://dx.doi.org/10.4293/JSLS.2016.00070 |
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