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Can infection after anterior cruciate ligament surgery be prevented by inserting a Hemovac drain into graft donor site?
OBJECTIVES: This study aims to investigate the effect of Hemovac drainage placed in graft harvesting area on preventing deep surgical site infection (SSI) and/or septic arthritis through draining the hematoma formed in the graft area in arthroscopic primary anterior cruciate ligament (ACL) reconstru...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Bayçınar Medical Publishing
2020
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7489125/ https://www.ncbi.nlm.nih.gov/pubmed/32160508 http://dx.doi.org/10.5606/ehc.2020.71334 |
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author | Sever, Gökhan Bülent |
author_facet | Sever, Gökhan Bülent |
author_sort | Sever, Gökhan Bülent |
collection | PubMed |
description | OBJECTIVES: This study aims to investigate the effect of Hemovac drainage placed in graft harvesting area on preventing deep surgical site infection (SSI) and/or septic arthritis through draining the hematoma formed in the graft area in arthroscopic primary anterior cruciate ligament (ACL) reconstruction surgery using hamstring autograft. PATIENTS AND METHODS: This retrospective study was conducted between January 2008 and March 2019. A total of 819 patients (769 males, 50 females; mean age 33.7 years; range, 25 to 41 years) who underwent arthroscopic primary ACL reconstruction surgery using hamstring autograft were divided into two groups based on whether a Hemovac drain was also placed at the hamstring graft harvested area. Both groups were compared in terms of the presence of deep SSI and/or development of septic arthritis. RESULTS: In the non-drained group (group 1, n=401), 16 patients (3.9%) had septic arthritis, four (0.9%) had deep SSI, and two (0.49%) had both wound and joint infections. Septic arthritis was identified in only one patient (0.2%) in the drained group (group 2, n=418). In group 2, the mean amount of blood coming from the drain at the graft harvesting region was 36.85 mL (range, 20-50 mL). CONCLUSION: In arthroscopic primary ACL reconstruction surgery using hamstring tendon autograft, we concluded that the use of a Hemovac drain could be effective in preventing deep SSI through reducing the hematoma occurring in this region. However, future studies are needed to validate the effect of Hemovac drain on preventing the septic arthritis. |
format | Online Article Text |
id | pubmed-7489125 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Bayçınar Medical Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-74891252020-09-17 Can infection after anterior cruciate ligament surgery be prevented by inserting a Hemovac drain into graft donor site? Sever, Gökhan Bülent Jt Dis Relat Surg Original Article OBJECTIVES: This study aims to investigate the effect of Hemovac drainage placed in graft harvesting area on preventing deep surgical site infection (SSI) and/or septic arthritis through draining the hematoma formed in the graft area in arthroscopic primary anterior cruciate ligament (ACL) reconstruction surgery using hamstring autograft. PATIENTS AND METHODS: This retrospective study was conducted between January 2008 and March 2019. A total of 819 patients (769 males, 50 females; mean age 33.7 years; range, 25 to 41 years) who underwent arthroscopic primary ACL reconstruction surgery using hamstring autograft were divided into two groups based on whether a Hemovac drain was also placed at the hamstring graft harvested area. Both groups were compared in terms of the presence of deep SSI and/or development of septic arthritis. RESULTS: In the non-drained group (group 1, n=401), 16 patients (3.9%) had septic arthritis, four (0.9%) had deep SSI, and two (0.49%) had both wound and joint infections. Septic arthritis was identified in only one patient (0.2%) in the drained group (group 2, n=418). In group 2, the mean amount of blood coming from the drain at the graft harvesting region was 36.85 mL (range, 20-50 mL). CONCLUSION: In arthroscopic primary ACL reconstruction surgery using hamstring tendon autograft, we concluded that the use of a Hemovac drain could be effective in preventing deep SSI through reducing the hematoma occurring in this region. However, future studies are needed to validate the effect of Hemovac drain on preventing the septic arthritis. Bayçınar Medical Publishing 2020-03-02 /pmc/articles/PMC7489125/ /pubmed/32160508 http://dx.doi.org/10.5606/ehc.2020.71334 Text en Copyright © 2020, Turkish Joint Diseases Foundation http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Original Article Sever, Gökhan Bülent Can infection after anterior cruciate ligament surgery be prevented by inserting a Hemovac drain into graft donor site? |
title | Can infection after anterior cruciate ligament surgery be prevented by inserting a Hemovac drain into graft donor site? |
title_full | Can infection after anterior cruciate ligament surgery be prevented by inserting a Hemovac drain into graft donor site? |
title_fullStr | Can infection after anterior cruciate ligament surgery be prevented by inserting a Hemovac drain into graft donor site? |
title_full_unstemmed | Can infection after anterior cruciate ligament surgery be prevented by inserting a Hemovac drain into graft donor site? |
title_short | Can infection after anterior cruciate ligament surgery be prevented by inserting a Hemovac drain into graft donor site? |
title_sort | can infection after anterior cruciate ligament surgery be prevented by inserting a hemovac drain into graft donor site? |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7489125/ https://www.ncbi.nlm.nih.gov/pubmed/32160508 http://dx.doi.org/10.5606/ehc.2020.71334 |
work_keys_str_mv | AT severgokhanbulent caninfectionafteranteriorcruciateligamentsurgerybepreventedbyinsertingahemovacdrainintograftdonorsite |