Effect of Operative Wound Protection on Surgical Wound Complications.
10.5230/jkgca.2007.7.4.248
- Author:
Jin Hong LIM
1
;
Sung Soo KIM
;
Won Hyuk CHOI
;
Sung Jin OH
;
Woo Jin HYUNG
;
Seung Ho CHOI
;
Sung Hoon NOH
Author Information
1. Department of Surgery, Yonsei University College of Medicine, Seoul, Korea. sunghoonn@yuhs.ac
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
Operative wound complication;
Wound protector
- MeSH:
Demography;
Humans;
Length of Stay;
Mortality;
Polyethylene;
Prospective Studies;
Seroma;
Stomach Neoplasms;
Wounds and Injuries*
- From:Journal of the Korean Gastric Cancer Association
2007;7(4):248-253
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Surgical wound complications remain a cause of morbidity and mortality among postoperative patients, and the cost of caring for patients with a surgical wound complication is substantial. The purpose of this study was to evaluate the ability of a vinyl wound protector to reduce the rate of wound complications when used in clean-contaminated surgery. MATERIALS AND METHODS: Between May 2006 and September 2006, 295 patients with a gastric cancer that underwent gastric surgery were studied prospectively, and the patients were randomized into one of two groups: the no wound protector group (n=137) or the polyethylene protector group (n=132). RESULTS: The demographics and operation type and operation time were similar for patients in both groups. The rate of wound complication was different between patients in the no protector group (n=42) and the polyethylene protector group (n=12) (P=0.001) and the rates of seroma (P=0.001), infection (P=0.030) and dehiscence (P=0.282) were different for the two groups. The postoperative hospital stay was significantly shorter in the polyethylene protector group of patients (P=0.040). CONCLUSION: The use of a polyethylene protector resulted in a reduction of the surgical wound complication rate, and the cost of caring for patients, and morbidity and mortality among postoperative patients could be reduced.
