Effect of triclosan-coated sutures on surgical site infection after gastric cancer surgery via midline laparotomy.
10.4174/astr.2014.87.6.311
- Author:
Kuk Hyun JUNG
1
;
Seung Jong OH
;
Kang Kook CHOI
;
Su Mi KIM
;
Min Gew CHOI
;
Jun Ho LEE
;
Jae Hyung NOH
;
Tae Sung SOHN
;
Jae Moon BAE
;
Sung KIM
Author Information
1. Department of Surgery, Bundang Jesaeng Hospital, Seongnam, Korea.
- Publication Type:Original Article
- Keywords:
Sutures;
Surgical wound infection;
Laparotomy;
Stomach neoplasms
- MeSH:
Abdominal Wall;
Cross Infection;
Humans;
Incidence;
Laparotomy*;
Mass Screening;
Polyglactin 910;
Prospective Studies;
Seroma;
Stomach Neoplasms*;
Surgical Wound Infection;
Sutures*;
Wound Healing
- From:Annals of Surgical Treatment and Research
2014;87(6):311-318
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Surgical site infection (SSI) after open abdominal surgery is still a frequently reported nosocomial infection. To reduce the incidence of SSI, triclosan-coated sutures with antiseptic activity (Vicryl Plus) were developed. The aim of this study was to analyze the effect of Vicryl Plus on SSI after gastric cancer surgery via midline laparotomy. METHODS: A total of 916 patients who underwent gastric cancer surgery at Samsung Medical Center between December 2009 and September 2011 were prospectively collected. We examined the occurrence of SSI (primary endpoint), assessments of wound healing (secondary endpoint). They were evaluated postoperatively on days 3, 7, and 30. RESULTS: Of the 916 patients, 122 were excluded postoperatively by screening (out of the study protocol, adverse events, etc.). The remaining 794 patients were enrolled and monitored postoperatively. The cumulative SSI incidence was 11 cases (1.39%; 95% confidence interval [CI], 0.77-2.50) on day 30. Seromas were most frequently detected in wound healing assessments, with a cumulative incidence of 147 cases (18.51%; 95% CI, 15.98-21.39) on day 30. CONCLUSION: The use of triclosan-coated sutures (Vicryl Plus) for abdominal wall closure can reduce the number of SSIs in gastric cancer surgery.
