Academic literature on the topic 'Surgical wound infections'
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Journal articles on the topic "Surgical wound infections"
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Barry, Carey L. "Surgical Wound Infections." Physician Assistant Clinics 6, no. 2 (April 2021): 295–307. http://dx.doi.org/10.1016/j.cpha.2020.11.003.
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Neville, Holly L., and Kevin P. Lally. "Pediatric surgical wound infections." Seminars in Pediatric Infectious Diseases 12, no. 2 (April 2001): 124–29. http://dx.doi.org/10.1053/spid.2001.22786.
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Turtiainen, J., and T. Hakala. "Surgical wound infections after peripheral vascular surgery." Scandinavian Journal of Surgery 103, no. 4 (April 15, 2014): 226–31. http://dx.doi.org/10.1177/1457496913514384.
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Surgical wound infection is one of the most common complications after peripheral vascular surgery. It increases the affected patient’s risk for major amputation as well as mortality. Furthermore, surgical wound infection is an additional cost. Wound infections after vascular surgery are of multifactorial nature and generally result from the interplay of patient- and procedure-related factors. The use of systemic antibiotic prophylaxis may be the most important method in preventing surgical wound infections. In this review article, we report the current literature of surgical wound infections after peripheral vascular surgery.
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Gottrup, Finn. "Prevention of Surgical-Wound Infections." New England Journal of Medicine 342, no. 3 (January 20, 2000): 202–4. http://dx.doi.org/10.1056/nejm200001203420310.
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Micheal, S. E. "P179 Nosocomial surgical wound infections." Blood Reviews 21 (August 2007): S142. http://dx.doi.org/10.1016/s0268-960x(07)70259-x.
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Surahio, Abdul Rashid, Altaf Ahmed Talpur, Abdul Salam `Memon, Afzal Junejo, and Abdul Aziz Laghari. "SURGICAL SITE INFECTIONS;." Professional Medical Journal 24, no. 01 (January 18, 2017): 57–63. http://dx.doi.org/10.29309/tpmj/2017.24.01.409.
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Background: Wound infection has been a major problem in the surgical fieldsince long time. Significant improvements in sterilization, preoperative preparation of patient forsurgery, surgical techniques & prophylactic usage of preoperative antibiotics have not been ableto eradicate wound infections. Development of wound infection increases the hospital stay, costof treatment & increase morbidity & mortality associated with surgery. Objectives: To assesstype of organism responsible for postoperative wound infection & its drug sensitivity patterns atPublic & private sector hospitals of Hyderabad. Study Design: Prospective, descriptive study.Setting: Public & Private Sector Hospitals of Hyderabad, Pakistan. Period: June 2013 to May2014. Materials & Method: All patients of either sex above the age of 13 years who underwentsurgery & developed wound infection were included in the study. Samples to assess culture &sensitivity pattern of organism were taken from infected wounds. Subject’s data was collectedon preformed proforma for age, sex, diagnosis, co morbid illness, type of surgery, presence orabsence of wound infection, grade of infection, and culture & sensitivity pattern of organismisolated. Results: During this 1 year period total of 424 patients of different pathologies relatedto General surgery were finally included in analysis. Mean age was 27.35 years with 61.08%were male and 38.91% female. Inguinoscrotal operations were the commonest proceduresperformed in 113(26.65%) patients followed by Appendicectomy in 102(24.06%) patients.Surgical site infection was noticed in 54(12.74%) patients with 47(13.27%) had this of grade II& above. It includes 23(22.55%) patients of Appendicectomy followed by 09(33.33%) patientsof Laparotomy. 47(13.27%) samples were sent for Culture & sensitivity with 41(11.58%) ofthem showed positive yield. E. coli noticed as commonest organism isolated in 26(63.41%)patients followed by Staphylococcus Aureus in 08(19.51%). Most sensitive antibiotics againstnoted were Meropenem & Pipracillin with Tazobactum which showed sensitivity to E.coli in25(96.15%) patients & 24(92.31%) patients respectively while their sensitivity against S.Aureus was 07(87.5%) & 06(75%) patients respectively. Vancomycin was found sensitiveagainst Staphylococcus Aureus in 07(87.5%) patients. Sensitivity of Ampicillin to most ofthese organisms was found significantly low. Conclusion: Wound infection is responsible forsignificant morbidity in developing world with the frequency of 15.53% in this study. It puts upsignificant economic burden on the hospitals.
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Byval’tsev, V. A., I. A. Stepanov, V. E. Borisov, A. A. Kalinin, I. V. Pleshko, E. G. Belykh, and M. A. Aliev. "Surgical site infections in spinal neurosurgery." Kazan medical journal 98, no. 5 (October 15, 2017): 796–803. http://dx.doi.org/10.17750/kmj2017-796.
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The review presents current data on the problem of surgical site infections in spinal neurosurgery. Infectious complications are the most common cause of unsatisfactory results of surgical treatment and prolonged hospital stay of patients after spinal surgery. Clinical and economic analysis shows that each case of infection at the site of surgical intervention causes additional 7.3 days of hospital stay in the postoperative period and $3152 extra costs per patient. According to the world literature, the incidence of wound infection in spinal neurosurgery varies from 0.7 to 11.9%. The main risk factors for this complication are long period from the moment of hospitalization to the operation, significant blood loss and long duration of surgical intervention. In the article, special role in the development of wound infection is given to the malnutrition syndrome. Patients suffering from this syndrome are considered to be at high risk of surgical site infections developing. Insufficient amounts of protein and energy substances are the cause of disturbed reparative processes in the wound and decreased level of immune defense. Diagnosis of wound infection is based on a comprehensive analysis of clinical and laboratory-instrumental research methods. The review presents current data on the pathogens of surgical site infections, regimens of antibiotic prophylaxis and effective methods of treatment (local and systemic antibiotic therapy, vacuum-assisted closure, flow-washing drainage, hyperbaric oxygenation). Undoubtedly, early diagnosis and correctly chosen management of a patient allows to reverse signs of wound infection and to avoid unfavorable clinical outcomes after surgical interventions on the spine.
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Gil-Egea, M. J., M. T. Pi-Sunyer, A. Verdaguer, F. Sanz, A. Sitges-Serra, and L. Torre Eleizegui. "Surgical Wound Infections: Prospective Study of 4,468 Clean Wounds." Infection Control 8, no. 7 (July 1987): 277–80. http://dx.doi.org/10.1017/s0195941700066236.
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AbstractA prospective four-year study on the infection rate of clean operative wounds is presented. From January 1982 to June 1985, a nurse epidemiologist and a medical team assessed 4,468 operative procedures, from the day of surgery to the patients' discharge from the hospital. The infection rate was 3.2%. A higher incidence of wound infection was detected in patients requiring emergency operations (5.1%), in drained wounds (5.4%), and in patients with conditions thought to predispose to infection, such as advanced cancer, hepatic cirrhosis, diabetes, nephrotic syndrome, previous splenectomy, and treatment with immunosuppressive drugs (7.8%). Age over 65 did not influence infection rates. There were up to tenfold differences in infection indices between surgeons performing the same clean procedures. The continued monitoring of clean wound infection rates allowed the early detection and control of infection outbreaks. Providing periodic information on infection rates to the different surgical services was associated with decreasing infection rates over time.
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Belkin, Nathan L. "Laminar airflow and surgical wound infections." AORN Journal 68, no. 2 (August 1998): 273–75. http://dx.doi.org/10.1016/s0001-2092(06)62520-9.
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Ler, Zeljko, Branko Vujovic, and Sead Jazic. "Epidemic of Surgical Wound Infections in Wartime Sarajevo." Prehospital and Disaster Medicine 9, S1 (June 1994): S35—S37. http://dx.doi.org/10.1017/s1049023x00041169.
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AbstractBackground:An epidemic of surgical wound infections observed at the State Hospital of Sarajevo during June-September 1992 is reported.Methods:A cross-sectional survey of 138 surgical patients with wound infection treated by the Department of Surgery of the State Hospital of Sarajevo was performed in mid-September and again in mid-November 1992. A preliminary evaluation of the bactericidal effectiveness of a new antiseptic preparation called DI-ASEPT also was done.Results:The frequency of wound infection was 24.4% in September and 19.2% in November. Pseudomonas species was the primary etiologic agent in this epidemic. DI-ASEPT was as effective as povidone-iodine in producing wound asepsis.Conclusions:Because of limited resources large numbers of casualties, and an extremely adverse environment as a result of war that has affected hygienic conditions at the State Hospital of Sarajevo, a high frequency of contaminated or dirty operations were performed. This was the primary reason for the observed increase in wound infections. After hygienic conditions were restored, the epidemic of wound infections was terminated.
Dissertations / Theses on the topic "Surgical wound infections"
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Friberg, Örjan. "Local collagen-gentamicin for prevention of sternal wound infections /." Linköping : Univ, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-7125.
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Opadotun, Olukemi. "Infection control practices for the prevention of surgical site infections in the operating room." Thesis, Nelson Mandela Metropolitan University, 2014. http://hdl.handle.net/10948/d1017195.
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Infections are a major cause of morbidity and mortality during the post-operative phase of patients’ recovery. Wound infections are the second most commonly encountered type of nosocomial infection. Because wound infections can be introduced by not applying infection control measures and sterile technique principles in the operating room, the implementation of infection control principles is an imperative. The aim of this study was to explore and describe infection control practices related to the prevention of Surgical site infections in the operating rooms in a public health care sector in the Nelson Mandela Bay Municipality. The findings were compared with practices, as indicated in an evidence-based guideline. The research design was quantitative, explorative, descriptive, comparative-descriptive and contextual in nature. The research sample consisted of all the professional nurses, in the operating room. The data were collected by means of a self-administered questionnaire. Descriptive statistics was used to present the data in the form of tables and graphs. Based on the analysis of the data, some recommendations were made for the implementation of infection control practices, in order to prevent Surgical site infections in the operating room.
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Ancheril, Alphonsa. "Evaluation of a program implemented to reduce surgical wound infection in an acute care hospital in India : a clinical practice improvement project /." Electronic version, 2004. http://adt.lib.uts.edu.au/public/adt-NTSM20040913.150110/index.html.
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Singh, Baldev. "Prevalence of postoperative infection after orthognathic surgery." Thesis, Hong Kong : University of Hong Kong, 2001. http://sunzi.lib.hku.hk/hkuto/record.jsp?B23234635.
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Tegnell, Anders. "The epidemiology and consequences of wound infections caused by coagulase negative staphylococci after thoracic surgery /." Linköping : Univ, 2002. http://www.bibl.liu.se/liupubl/disp/disp2002/med742s.pdf.
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Curtis, Merrilyn. "Surgical site infections within the vascular surgical patient : identification of an appropriate index for risk stratification /." [St. Lucia, Qld], 2004. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe18233.pdf.
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Lai, Shuk-tin, and 黎淑鈿. "Evidence-based guidelines for chlorhexidine gluconate in preoperative skin preparation to reduce surgical site infection in patients undergoing general surgery." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193047.
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Surgical site infection not only brings morbidity and mortality to patients, but it also bring substantial financial burden to the hospital and the healthcare system. To minimize the clinical consequences of surgical site infection, it is crucial that all appropriate measures for reduction of surgical site infection should be implemented. Since patient’s skin is a potential source of pathogens, normal skin flora is a common cause of surgical site infections. Preoperative skin disinfection of the surgical site with an antiseptic agent is an effective method to remove the soil and transient organisms from the skin. Currently, there are different skin antiseptics available and the most commonly used agents are povidone iodine and chlorhexidine gluconate. Although povidone iodine has a long-standing recommendation and it is widely used in various surgical procedures, it has several limitations. On the other hand, there is an increasing interest of the use of chlorhexidine in indwelling catheter placement and care, surgical hand scrubbing, as well as wound dressing.
In view of this, there is a potential of replacing povidone iodine by chlorhexidine as preoperative skin antiseptic agent. As there is no existing guideline supportingthis innovative movement, this dissertation aimed to review the currently available evidence on preoperative skin preparation and to develop an evidence-based guideline of using chlorhexidine in preoperative skin preparation for reducing surgical site infection in patients undergoing general surgery.
Five randomized controlled studies were identified from MEDLINE, CINAHL and PUBMED and evaluated by a critical appraisal tool, the Scottish Intercollegiate Guidelines Network. All studies reported that preoperative skin preparation with chlorhexidine is more effective than the use of povidone iodine in reducing surgical site infection. An evidence-based guideline is developed according to the guideline development process from the Scottish Intercollegiate Guideline Network. Patient characteristics, local clinical setting, organizational infrastructure and staff competency is congruent with the proposed innovation. The new protocol not only can minimize the risk of postoperative surgical site infection but also save costs. The cost-benefit analysis showed that the new protocol can help to save $675,552 to $1,097,772 (HK dollars) in six-month period after implementation.
To facilitate a more comprehensive plan in actual implementation of the proposed guideline, stakeholders at administrative, managerial, and operational levels would be invited to take part in the 12-week pilot test. Surgical site infection, staff satisfaction and compliance, as well as cost and benefit ratio of the guideline would be measured in the evaluation plan. The refined guidelines would then be implemented for one year. The effectiveness of the guideline would be determined by reduction in postoperative surgical site infection, increase in staff knowledge and satisfaction, and the overall expenditure.published_or_final_version
Nursing Studies
Master
Master of Nursing
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Gomila, Grange Aina. "Current challenges in the prevention, management and outcomes of surgical site infections in elective colorectal surgery." Doctoral thesis, Universitat de Barcelona, 2018. http://hdl.handle.net/10803/665451.
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Surgical site infections (SSI) are currently the most frequent healthcare-associated infections in Spain and Europe. Its development increases morbidity and mortality of patients and costs of healthcare system. Colorectal surgery has special relevance since its contaminated nature implies high rates of SSI. Organ-space SSI, the deepest one, is associated with high mortality. All studies in this memory are observational prospective cohort studies including patients undergoing elective colorectal surgery between 2011 and 2014 in 10 hospitals participating in the VINCat Program.
In the first study, differences in the risk factors and rates of SSI in colon and rectal surgery were evaluated. The SSI rates in colon and rectal surgery were 16.4% and 21.6% respectively. While male sex was a common risk factor in colon and rectal surgery, the creation of an ostomy was risk factor for organ-space SSI in colon surgery and duration of surgery > percentile 75 of the procedure in rectal surgery. The administration of oral antibiotic prophylaxis (OAP) prior to surgery and laparoscopy were protective factors in both cases. Thirty-day mortality of patients with organ-space SSI was higher in colon surgery than in rectal surgery.
In the second article we analyzed the risk factors and microbiology of SSI developed early (7 days) and late (from the 8th to the 30th day) after colorectal surgery. Early-onset SSI occurred mainly in colon surgery and was organ-space SSI, while late-onset SSI occurred more frequently in rectal surgery and were mainly incisional. There were no significant differences in the microbiology of the two infection types. Early-onset SSI were associated with male sex, American Society of Anesthesiologists’ (ASA) classification III-IV and the creation of an ostomy. Late-onset SSI were associated with rectal surgery, longer duration of surgery and prior chemotherapy. OAP and laparoscopic surgery were protective factors in both cases.
In the third study we focused on analyzing the antibiotic management and source control of organ-space SSI, as well as factors associated with treatment failure (defined as mortality or persistence of infection’s signs or symptoms 30 days after surgery) in these patients. The 100% of patients with organ-space SSI received antibiotics for a period longer than 15 days and 81% received measures of source control. The overall treatment failure rate was 21.7% (34.2% in organ-space SSI and 9% in incisional SSI). Treatment failure in organ-space SSI was associated with older age, laparoscopy and the need of reoperation.
In the fourth study we analyzed the health costs (excess of hospital stay and 30-day mortality) of developing organ-space SSI using a multi-state model that took into account the time-dependent nature of the variable SSI, to avoid overestimation of the effect of SSI. The development of organ-space SSI increased hospital stay by 4.2 days compared to patients who developed incisional SSI and in 9 days compared with those who did not develop SSI. Organ-space SSI increased the mortality risk by 8 times compared to patients who developed incisional SSI and by 10 times compared to patients who did not develop SSI.
In the fifth study we analyzed the risk factors, management and prognosis of SSI caused by Pseudomonas aeruginosa. The 9.3% of patients who developed SSI had an isolation of P. aeruginosa (frequently were polymicrobial infections). These patients had a more deteriorated baseline status (higher ASA classification and higher modified National Nosocomial Infections Surveillance index (NNIS)) and longer duration of surgery than patients with SSI caused by other microorganisms. They received antibiotic therapy for a longer period and had higher treatment failure rate (30.6% vs. 20.8%) than the other SSI. Factors independently associated with P. aeruginosa SSI were higher NNIS index and the no-administration of OAP.Les infeccions de localització quirúrgica (ILQ) són actualment les infeccions relacionades amb l’assistència sanitària més freqüents. Les taxes d’ILQ són especialment altes en cirurgia electiva colorectal. Aquest projecte analitza diferents aspectes de la prevenció, maneig i evolució de les ILQ, i en especial la d’òrgan-espai, en cirurgia electiva colorectal en 10 hospitals del programa VINCat. El primer estudi mostra les diferències entre les cirurgies de colon i recte en quant a prevalença d’ILQ, sent major en cirurgia de recte que de colon i en els factors de risc d’ILQ d’òrgan-espai. En el segon article s’analitzaren els factors de risc i la microbiologia de les SSI desenvolupades de forma precoç (7 dies) i tardana (del 8 al 30è dia) després de la cirurgia. Es van trobar diferents factors de risc per ILQ precoç i tardana, no obstant, no hi van haver diferències significatives en la microbiologia. La profilaxis antibiòtica oral (PAO) i la laparoscòpia van ser factors protectors comuns. El tercer estudi mostra la microbiologia més freqüent i la presència de multiresistència en bactèries Gram-negatives en les ILQs. També analitza el maneig antibiòtic i de control del focus de les ILQ d’òrgan-espai. El fracàs terapèutic de les ILQ d’òrgan-espai a 30 dies de la cirurgia va ser del 34.2%, i es va associar amb l’edat avançada, la laparoscòpia i la necessitat de reoperació. En el quart estudi es van analitzar els costos de salut (excés d'estada hospitalària i mortalitat als 30 dies de la cirurgia) del desenvolupament d’ILQ d’òrgan-espai mitjançant un model multiestat. Els pacients amb ILQ òrgan-espai van presentar una estada hospitalària i mortalitat significativament superior als pacients amb ILQ incisional o que no van desenvolupar ILQ. En el cinquè estudi es van analitzar els factors de risc, el maneig i pronòstic de les ILQ causades per Pseudomonas aeruginosa. Un 9.3% de les ILQ van tenir aïllament de P. aeruginosa. Aquests pacients tenien una classificació American Society of Anesthesiologists’ (ASA) més alta, un índex de National Nosocomial Infections Surveillance (NNIS) més alt, una major durada de la cirurgia, un tractament més llarg i major fracàs terapèutic (30.6% vs. 20.8%) que els pacients amb ILQ d’altres etiologies. Els factors associats de forma independent a ILQ per P. aeruginosa van ser un índex NNIS 1-2 i la no-administració de PAO.
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Maruta, Anna. "Surveillance of surgical site infections following caesarean section at two central hospitals in Harare, Zimbabwe." Thesis, Stellenbosch : Stellenbosch University, 2015. http://hdl.handle.net/10019.1/98019.
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Thesis (MSc)--Stellenbosch University, 2015.ENGLISH ABSTRACT: Background Caesarean section deliveries are the most common procedures performed by obstetricians in Zimbabwe. Surgical site infections (SSI) following caesarean section delivery result in increased hospital stay, treatment, cost, hospital readmission rates and related maternal morbidity and mortality. There is no national surveillance system for SSIs in Zimbabwe, however, information is available on number of cases of post-operative wound infection after caesarean section, but the denominator and definition used is not consistent. The objective of this study were develop and strengthen the surveillance system in Zimbabwe, to establish a clinical-based system in a setting with limited microbiological access, to measure post-operative SSI after caesarean section and to describe the associated risk factors and to determine whether feedback of SSI data has any effect on the surgical site infection incidence rate. Methodology This was a before and after study with two rolling cohort periods conducted at two Central hospitals in Harare, Zimbabwe. An Infection Prevention and Control (IPC) intervention was conducted in-between. During the pre-intervention period, baseline demographic and clinical data were collected using a structured questionnaire, and during the post-intervention period the impact of the interventions was measured. Convenience sampling was employed. Results A total of 290 women consented to participate in the study in the pre intervention period, 86.9% (n= 252) completed the 30-days post-operative follow-up and the incidence rate of SSI was 29.0% (n=73, 95% CI:23.4-35.0) Interventions developed included: training in Infection Prevention and Control for health workers; implementation of a protocol for cleaning surgical instruments; dissemination of information on post-operative wound management for the women. After implementation of the intervention, 314 women were recruited for the post-intervention, 92.3%(n= 290) completed the 30-day follow-up and there was a significant (p<0.001) reduction in the incidence rate of SSIs to 12.1 % (n=35, 95% CI: 8.3 -15.8) during this period. Development of SSI after caesarean section was found to be significantly associated with emergency surgery (p<0.001), surgical wound class IV (p=0.001) and shaving at home (p<0.001) at both pre- intervention and post-intervention periods. Stellenbosch University https://scholar.sun.ac.za iii Conclusion This study shows that caesarean section can be performed with low incidence of SSI if appropriate interventions such as training in IPC, adequate cleaning of equipment and education in wound-care for the mother are adhered to. It also demonstrated a simple surveillance data collection tool can be used on a wide scale in resource limited countries to assist policy makers with monitoring and evaluation of SSI rates as well as assessment of risk factors.
AFRIKAANSE OPSOMMING: Agtergrond Keisersnitte is die mees algemene prosedure wat uitgevoer word deur obstetriese dokters in Zimbabwe. Chirurgiese wond infeksies wat op keisersnitte volg lei tot verlengde hospitaal verblyf, behandeling, koste, heropname koerse en verwante moederlike morbiditeit en mortaliteit. Alhoewel daar geen nasionale waaktoesig sisteem vir chirurgiese wondinfeksies is nie, is informasie beskikbaar vir ‘n aantal gevalle wat post-operatiewe wondinfeksie na ‘n keisersnit onwikkel het, maar die noemer en definisie word inkonsekwent gebruik. Die doel van hierdie studie was om die waaktoesig sisteem in Zimbabwe te ontwikkel en te versterk, om ‘n klinies-gebasseerde sisteem te vestig in ‘n opset met beprekte mikrobiologiese toegang, om postoperatiewe chirurgiese wond infeksies na keisersnitte te meet en om die geassosieerde risikofaktore te beskryf en om vas te stel of terugvoering van chirurgiese wondinfeksie data enige effek op die infeksiekoerse na keisersnitverlossings gehad het. Metodologie Hierdie was ‘n voor-en-na studie met twee kohort periodes uitgevoer by twee sentrale hospitale in Harare, Zimbabwe. ‘n Infeksievoorkoming en –beheer intervensie was tussenin uitgevoer. Tydens die pre-intervensie periode was basislyn demografiese en kliniese data ingesamel deur middel van ‘n gestruktureerde vraeboog, en gedurende die post-intervensie fase was die impak van die intervensies gemeet. Gerieflikheidsteekproefneming was geimplementeer. Resultate ‘n Totaal van 290 vroue het toestemming verleen om aan die studie deel te neem in die pre-intervensie periode, waarvan 86.9% (n=252) die 30 day post-operatiewe opvolg voltooi het en die insidensiekoers van chirurgiese wondinfeksies was 29.0% (n=73, 95% CI:23.4-35.0) Intervensies wat onwikkel was het ingesluit: opleiding in Infeksie Voorkoming en -Beheer vir gesondheidswerkers; die implementering van ‘n protokol om chirurgiese instrumente skoon te maak; disseminering van informasie oor post-operatiewe wondhantering vir vroue. Na die implimentering van die intervensie was 314 vroue gewerf in die post-intervensie fase, waarvan 92.3% (n=290) die 30 dae opvolg voltooi het. Daar was ‘n beduidende (p<0.001) verlaging in die insidensiekoers van chirurgiese wondinfeksies na 12.1% (n=35, 95% CI: 8.3-15.8) gedurende hierdie periode. Stellenbosch University https://scholar.sun.ac.za v Daar was bevind dat chirurgiese wondinfeksies beduidend geassosieer was met noodchirurgie (p<0.001), chirurgiese wondklassifikasie IV (p=0.001) en skeer van hare by die huis (p<0.001) by beide die pre-intervensie en post-intervensie periodes. Gevolgtrekking Hierdie studie wys dat keisersnitte uitgevoer kan word met ‘n lae insidensie van chirurgiese wondinfeksies indien toepaslike intervensies, soos opleiding in infeksievoorkoming en beheer, voldoende skoonmaak van toerusting en opvoeding in wondsorg vir die moeders. Dit het ook aangedui dat ‘n eenvoudige data-insameling instrument op ‘n wye basis gebruik kan word in beperkte-hulpbron lande om beleidmakers te help met monitering en evaluering van chirurgiese wondinfeksie koerse, asook die assessering van risikofaktore.
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Braga, Jessyca Rodrigues. "Aspectos clínicos e epidemiológicos das infecções de sítio cirúrgico por micobactéria não tuberculosas no município de Goiânia-Goiás." Universidade Federal de Goiás, 2017. http://repositorio.bc.ufg.br/tede/handle/tede/7257.
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Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPq
Surgical Site Infection (SSI), besides being an indicator of the quality of care, is one of the main healthcare-associated infection (HAI). SSI caused by non-tuberculous mycobacteria (NTM) has become increasingly frequent, increasing the prevalence of SSI in clinical practice. OBJECTIVE: To analyze the epidemiological and clinical aspects of SSI by MNT in the city of Goiânia-Goiás. METHODS: Retrospective cross-sectional study, carried out from the Municipal Coordination of Infection Control and Patient Safety in Health Services (Comciss), of the Municipality of Goiânia - Goiás (Brazil). The population consisted of clinical cases of SSI by probable MNT notified to Comciss, by public and private health institutions of the city of Goiânia-Goiás, in the period from 2006 to 2015. Data were collected during the months of October to December 2015 and March 2016. The source of the data consisted of the notification/investigation forms of SSI cases by MNT stored in Comciss. The data were organized, processed and analyzed in SPSS software version 20.0 and estimated by means of simple frequency and measures of central tendency (average, fashion and median). Chi-square test or Fisher's exact test were used to assess the differences between proportions, and Odds Ratio to estimate the chance of positivity for each outcome. The level of significance was considered p <0.05. RESULTS: One hundred twenty two specimens were positive for MNT and 9 were negative. The average age of the patients was 38.15 years (SD: 13.8, min: 19 and max: 86 years). The female sex predominated in 77.1% of the cases. Comciss was the main responsible (67.1%) for the notifications. The private healthcare institutions accounted for 92.3% of the surgeries performed. Aesthetic surgeries were the most prevalent (51.9%), with mammoplasty being the most frequent. The conventional route stood out with 44.2%, compared to those made by video. The species M. abscessus and M. fortuitum prevailed. Orthopedic surgery (p = 0.002) and general surgery (p <0.001) presented a statistical association for M. abscessus infection. The use of prosthesis (p <0.001, OR 95%: 6.12) and plastic surgery (p <0.001; OR 95%: 5.90) showed statistical difference for M. fortuitum infection, but were not associated in regression. Signs / symptoms were present in 119 patients, including fever, secretion, abscess, nodules, hyperemia, among others. Clarithromycin was the most commonly used antimicrobial for the treatment of SSI by M. abscessus, and amikacin-associated clarithromycin was the most commonly used antimicrobial therapy for M. fortuitum. Resistance to 12 (80%) different antimicrobials was found for M. abscessus, and 15 (88.2%) for M. fortuitum. CONCLUSIONS: Females predominated, with mammoplasty being the main surgery. M. abscessus and M. fortuitum were the most prevalent species, being resistant to up to 15 (88,2%) antimicrobials. Being submitted to orthopedic and general surgery was a factor associated with ISC by M. abscessus.
A Infecção de Sítio Cirúrgico (ISC), além de ser um indicador da qualidade da assistência, é uma das principais infecções relacionadas à assistência à saúde (IRAS). As ISC causadas pelas Micobactérias Não Tuberculosas (MNT) têm se tornado cada vez mais frequentes, aumentando a prevalência de ISC na prática clínica. OBJETIVO: Analisar os aspectos epidemiológicos e clínicos das ISC por MNT no município de Goiânia-Goiás. MÉTODO: Estudo retrospectivo do tipo transversal, realizado a partir do banco de dados da Coordenação Municipal de Controle de Infecção e Segurança do Paciente em Serviços de Saúde (Comciss) do Município de Goiânia – Goiás (Brasil). A população constituiu-se de casos clínicos de ISC por provável MNT notificados à Comciss por instituições de saúde pública e privadas do município de Goiânia-Goiás, no período de 2006 à 2015. Os dados foram coletados durante os meses de outubro a dezembro de 2015 e março de 2016. A fonte dos dados constituiu-se das fichas de notificação/investigação dos casos de ISC por MNT armazenadas na Comciss. Os dados foram organizados, processados e analisados no software SPSS versão 20.0 e estimados por meio de frequência simples e medidas de tendência central (média, moda e mediana). Teste de Qui- quadrado ou exato de Fischer foram utilizados para avaliar as diferenças entre proporções, e Odds Ratio para estimar a chance de positividade para cada desfecho. O nível de significância foi considerado p<0,05. RESULTADOS: Foram positivas 122 espécimes para MNT e 9 negativos. A média de idade dos pacientes foi 38,15 anos (DP: 13,8; min:19 e máx: 86 anos). Predominou o sexo feminino em 77,1% dos casos. A Comciss foi a principal responsável (67,1%) pelas notificações. As instituições de saúde da rede privada foram responsáveis por 92,3% das cirurgias realizadas. As cirurgias estéticas foram as mais prevalentes (51,9%), sendo a mamoplastia a mais frequente. A via convencional se sobressaiu, com 44,2% em relação às realizadas por vídeo. Predominaram as espécies M. abscessus e M. fortuitum. Cirurgia ortopédica (p=0,002) e cirurgia geral (p<0,001) apresentaram associação estatística para infecção pelo M. abscessus. O uso de prótese (p<0,001; OR 95%: 6,12) e cirurgia plástica (p<0,001; OR 95%: 5,90) mostraram diferença estatística para infecção por M. fortuitum, porém não apresentaram associação nos modelos de regressão. Cento de dezenove pacientes apresentaram sinais/sintomas, verificou-se febre, secreção, abscesso, nódulos, hiperemia, dentre outros. Claritromicina foi o antimicrobiano mais utilizado para tratamento de ISC por M. abscessus, e claritromicina associada à amicacina foi terapêutica antimicrobiana mais utilizada para M. fortuitum. Encontrou-se resistência a 12 (70,0%) diferentes antimicrobianos para M. abscessus, e a 15 (88,2%) para M. fortuitum. CONCLUSÕES: Predominou o sexo feminino, sendo a mamoplastia a principal cirurgia envolvida. M. abscessus e M. fortuitum foram as espécies mais prevalentes, sendo as mesmas resistentes à até 15 (88,2%) antimicrobianos. Ser submetido à cirurgia ortopédica e geral foi fator associado à ISC por M. abscessus.
Books on the topic "Surgical wound infections"
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Surgical infections. Baltimore: Williams & Wilkins, 1987.
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F, Easmon C. S., and Evans Mary 1939-, eds. Surgical infections. London: Edward Arnold, 1987.
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Pollock, Alan. Surgical infections. London: Edward Arnold, 1987.
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Surgical infections. Philadelphia, Pa: Saunders, 2009.
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1946-, Fry Donald E., ed. Surgical infections. Boston: Little, Brown, 1995.
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Joseph, Casey Murray, ed. Abdominal wound infections. Omaha, NE: IDI Publications, 1993.
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J, Howard Richard, ed. Surgical infections. Philadelphia: Saunders, 1988.
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J, Howard Richard, and Simmons Richard L. 1934-, eds. Surgical infectious diseases. 3rd ed. Norwalk, Conn: Appleton & Lange, 1995.
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L, Meakins Jonathan, ed. Surgical infections: Diagnosis and treatment. New York: Scientific American, Inc., 1994.
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W, Taylor Eric, ed. Infection in surgical practice. Oxford: Oxford University Press, 1992.
Find full textBook chapters on the topic "Surgical wound infections"
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Laitinen-Vapaavuori, Outi. "Surgical Wound Infections." In Complications in Small Animal Surgery, 1–7. Chichester, UK: John Wiley & Sons, Ltd, 2017. http://dx.doi.org/10.1002/9781119421344.ch1.
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Safdar, Nasia, Sara A. M. Zerbel, and Elizabeth Ann Misch. "Surgical Site Infections: Wound and Stump Infections." In Principles and Practice of Transplant Infectious Diseases, 265–72. New York, NY: Springer New York, 2019. http://dx.doi.org/10.1007/978-1-4939-9034-4_14.
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Arkudas, Andreas, Justus P. Beier, and Raymund E. Horch. "Plastic Surgical Methods of Defect Coverage in Sternal Osteomyelitis with Pedicled Flaps." In Deep Sternal Wound Infections, 91–100. Berlin, Heidelberg: Springer Berlin Heidelberg, 2016. http://dx.doi.org/10.1007/978-3-662-49766-1_11.
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Bergdoll, Merlin S. "Toxic Shock Syndrome from Surgical Infections." In Pathogenesis of Wound and Biomaterial-Associated Infections, 121–28. London: Springer London, 1990. http://dx.doi.org/10.1007/978-1-4471-3454-1_15.
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Foghetti, Domitilla. "Infection in Surgery: How to Manage the Surgical Wound." In Infections in Surgery, 37–50. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-62116-2_4.
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Kurz, A., D. I. Sessler, R. Lenhardt, E. Narzt, G. Huemer, and F. Lackner. "Does Intraoperative Core Hypothermia Increase the Incidence of Surgical Wound Infections and Prolong Hospitalization?" In Thermal Balance in Health and Disease, 277–82. Basel: Birkhäuser Basel, 1994. http://dx.doi.org/10.1007/978-3-0348-7429-8_36.
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Mirastschijski, Ursula. "Genital Scars." In Textbook on Scar Management, 405–25. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-44766-3_47.
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AbstractGenital scarring is a topic rarely addressed and discussed in public. Scarring can occur after trauma, female genital mutilation/cutting, circumcision, tumor surgery, burns, infections, or local skin diseases, for example, lichen sclerosus et atrophicus. Genital skin anatomy and wound healing differ from other regions of the body. This chapter focuses on genital skin anatomy, the physiology of normal genital wound healing, the pathophysiology of genital scarring, and the current state-of-the-art for plastic surgical treatment of genital tissue defects and scars.
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Bingoel, A. S., S. Strauss, and P. M. Vogt. "Clinical Application of wIRA Irradiation in Burn Wounds." In Water-filtered Infrared A (wIRA) Irradiation, 189–94. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-92880-3_15.
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AbstractBesides operative procedures (e.g., necrosectomies, skin grafting), conservative treatments of thermal injuries are increasingly important. wIRA as an additional therapy for burns, scalds, and chemically induced injuries and for treating severe skin reactions (e.g., toxic epidermal necrolysis) is used in our clinic on a daily basis. The most successful therapy involves 3–4 irradiations/30 min/day. Therefore, patients with superficial partial-thickness burns are treated with topical polyhexanide ointment and wIRA 2–4 days after the accident. In these cases, we see a quick wound-drying and a rapid re-epithelialization of the skin. The approach in deep partial-thickness burns depends on whether surgical procedures must be postponed due to poor general conditions. In these patients, preservation of the wound perfusion in regions that are not fully damaged is intended, avoiding extensive necrosectomies.Although third-degree burns are dry and do not require wIRA irradiation, it can be used for adjacent regions with minor degree burns. Preliminary in vitro data suggest a wIRA-induced migration of adipose-derived stem cells.Postoperatively, wIRA is used on areas transplanted with split-thickness skin grafts. After removal of the tie-over bolsters, wIRA is applied 3–4 times/20–30 min/day. The grafts exhibit a faster epithelialization of the fenestrated spots, and postoperative infections seem to be less frequent.
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Rochon, Melissa. "Wound Healing and Surgical Site Infection." In Manual of Perioperative Care, 70–82. West Sussex, UK: John Wiley & Sons, Ltd.,, 2013. http://dx.doi.org/10.1002/9781118702734.ch7.
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Murphy, Patrick B., and Michael Ott. "Negative-Pressure Wound Therapy as Prophylaxis for Surgical Site Infection in Perineal Wounds." In Pressure Injury, Diabetes and Negative Pressure Wound Therapy, 241–44. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/15695_2017_52.
Full textConference papers on the topic "Surgical wound infections"
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Xu, Susan S., Zhipeng Lei, Ziqing Zhuang, and Michael Bergman. "Computational Fluid Dynamics Simulation of Flow of Exhaled Particles From Powered-Air Purifying Respirators." In ASME 2019 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. American Society of Mechanical Engineers, 2019. http://dx.doi.org/10.1115/detc2019-97826.
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Abstract In surgical settings, infectious particulate wound contamination is a recognized cause of post-operative infections. Powered air-purifying respirators (PAPRs) are widely used by healthcare workers personal protection against infectious aerosols. Healthcare infection preventionists have expressed concern about the possibility that infectious particles expelled from PAPR exhalation channels could lead to healthcare associated infections, especially in operative settings where sterile procedural technique is emphasized. This study used computational fluid dynamics (CFD) modeling to simulate and visualize the distribution of particles exhaled by the PAPR wearer. In CFD simulations, the outward release of the exhaled particles, i.e., ratio of exhaled particle concentration outside the PAPR to that of inside the PAPR, was determined. This study also evaluated the effect of particle sizes, supplied air flow rates, and breathing work rates on outward leakage. This simulation study for the headform and loose-fitting PAPR system included the following four main steps: (1) preprocessing (establishing a geometrical model of a headform wearing a loose-fitting PAPR by capturing a 3D image), (2) defining a mathematical model for the headform and PAPR system, and (3) running a total 24 simulations with four particle sizes, three breathing workloads and two supplied-air flow rates (4 × 3 × 2 = 24) applied on the digital model of the headform and PAPR system, and (4) post-processing the simulation results to visually display the distribution of exhaled particles inside the PAPR and determine the particle concentration of outside the PAPR compared with the concentration inside. We assume that there was no ambient particle, and only exhaled particles existed. The results showed that the ratio of the exhaled particle concentration outside to inside the PAPR were influenced by exhaled particle sizes, breathing workloads, and supplied-air flow rates. We found that outward concentration leakage from PAPR wearers was approximately 9% with a particle size of 0.1 and 1 μm at the light breathing and 205 L/min supplied-air flow rates, which is similar to the respiratory physiology of a health care worker in operative settings, The range of the ratio of exhaled particle concentration leaking outside the PAPR to the exhaled particle concentration inside the PAPR is from 7.6% to 49. We found that supplied air flow rates and work rates have significant impact on outward leakage, the outward concentration leakage increased as particle size decreased, breathing workload increased, and supplied-air flow rate decreased. The results of our simulation study should help provide a foundation for future clinical studies.
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Ramos, Maria Fernanda Passos Rocha, Dandara Rocha Ramos, Paulus Fabricio Mascarenhas Ramos, and João Paulo Velloso Medrado Santos. "ONCOPLASTICS AS A SURGICAL APPROACH FOR THE MAINTENANCE OF SELF-ESTEEM IN WOMEN WITH BREAST CANCER." In XXIV Congresso Brasileiro de Mastologia. Mastology, 2022. http://dx.doi.org/10.29289/259453942022v32s1062.
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Introduction: The diagnosis of breast cancer brings with it various feelings and sensations, especially because it affects one of the most striking symbols of femininity. With this, oncoplastic surgery appears nowadays with the intention of offering the best aesthetic result without harming the oncological result. This surgical approach aims at keeping the aesthetics of the breasts preserved, in order to contribute to the maintenance of the self-esteem of women affected by cancer. Various techniques are recognized to achieve the desired outcome. Objective: This study aims to describe oncoplastics as a surgical approach to the breasts that contributes to the maintenance of self-esteem in women affected by cancer. Methods: This is a qualitative literature review, based on the analysis of studies available in the SciELO and PubMed databases, as well as searches on the Google Scholar platform. The descriptors used were the terms “Oncoplastics,” “Breast cancer,” and “Self-esteem.” Aspects such as the patients’ view about the approach, the physicians’ opinion about the benefit of oncoplastic surgery in each case, and the possible complications resulting from the surgical act were taken into consideration. The studies selected were those that responded to the objective, published between 2017 and 2022, and availability in Portuguese or English. Results: Factors such as age, BMI, tumor size and location, breast size, and the application of adjuvant treatment can determine the final aesthetic result. However, most of the selected studies demonstrate a good aesthetic result, which corresponds to 90% of the patients. It was observed that younger patients and those with better socioeconomic levels were more satisfied with the results. However, the complications of oncoplastic surgery are within the acceptable range, and these are mainly delayed wound healing, fat tissue necrosis, and infections, which, in turn, are almost totally resolved. Conclusion: Oncoplastics in mastology arise with the intention of benefiting the preservation of aesthetics and well-being of female patients diagnosed with cancer. Since its acceptance by specialists, the various techniques developed in this surgical approach ensure not only greater safety for patients but also better results, directly influencing their self-esteem.
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Zhang, Lai, Alistair D. Bounds, James P. Fleming, and John M. Girkin. "Characterizing surgical wound sites with spatial frequency domain imaging (SFDI)." In Latin America Optics and Photonics Conference. Washington, D.C.: Optica Publishing Group, 2022. http://dx.doi.org/10.1364/laop.2022.tu1b.7.
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We report on the use of SFDI to monitor the health of surgical wounds to minimize infection. Results from Monte Carlo simulations, phantom and in vivo measurements indicate the potential for the method.
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Oehler, Madison, Douglas G. Hayes, and Doris D'Souza. "Encapsulation of Melittin in Bicontinuous Microemulsions for Topical Delivery." In 2022 AOCS Annual Meeting & Expo. American Oil Chemists' Society (AOCS), 2022. http://dx.doi.org/10.21748/fmme7461.
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Surgical site infections and chronic wounds, especially those caused by antibiotic-resistant microorganisms, result in hospitalization and fatalities each year. Methods to prevent these infections, such as cleaning and preparing medical tools, have had minimal success in preventing infections. Further, antibiotic treatments have become less successful in treating infections and wounds as a result of antibiotic-resistant bacteria. Antimicrobial peptides (AMP) are a possible treatment solution. AMPs are oligopeptides that occur in nature or can be synthesized in vitro which possess a broad spectrum of antimicrobial activity against bacteria and other harmful microorganisms. AMPs operate by disrupting the packing arrangements of biomembranes in prokaryotes through their insertion into negatively charged phospholipid bilayers. However, many AMP products have failed clinical trials because of their difficulty to be delivered at high concentrations in an active form. This project proposes the use of bicontinuous microemulsions (BMEs) to encapsulate and deliver AMPs. BMEs are thermodynamically stable monophasic solutions consisting of surfactant, oil, aqueous media, and sometimes a cosurfactant. They are optically clear and consist of surfactant monolayers that separate oil and water nanodomains. Several different BME systems composed of biocompatible oils such as isopropyl myristate and limonene were evaluated for their ability to encapsulate melittin, a model AMP, and to test the system’s antimicrobial activity. AMPs are typically cationic, and the following hypothesis is being tested, that BMEs created with anionic surfactants would induce a more highly folded, hence more biologically active, conformation for melittin. We are currently measuring the antimicrobial activity of BME-encapsulated melittin against several prominent bacteria that are present in chronic wounds and surgical site infections through multiple antimicrobial assays. We will also assess the structure and microenvironment of melittin using circular dichroism and fluorescence spectroscopy, respectively, and the impact of melittin on the structure of BMEs through small-angle X-ray scattering.
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Gafarova, A. A., K. N. Korobintseva, and N. A. Barkhatova. "Influence of polymorbid states on the course of wound process at surgical infection of soft tissues." In ТЕНДЕНЦИИ РАЗВИТИЯ НАУКИ И ОБРАЗОВАНИЯ. НИЦ «Л-Журнал», 2018. http://dx.doi.org/10.18411/lj-04-2018-110.
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Heinzen, Rebeca Neves, Liliane Raupp Gomes Pizzato, Evandro Luiz Mitri Parente, Ivanio Alves Pereira, and Adriana Magalhães De Oliveira Freitas. "PYODERMA GANGRENOSUM AFTER LUMPECTOMY AND MAMMOPLASTY RESPONDS TO THE USE OF ANTI-TNF MONOCLONAL ANTIBODY." In Scientifc papers of XXIII Brazilian Breast Congress - 2021. Mastology, 2021. http://dx.doi.org/10.29289/259453942021v31s1023.
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Introduction; Pyoderma gangrenosum (PG) is a rare neutrophilic dermatosis of unknown etiology, which can be triggered after a surgical procedure. It can occur at any surgical site, but it is more common after breast surgeries. The trauma of the surgery can increase levels of inflammatory cytokines and result in a dysfunction of the innate immune system leading to a condition with cellulitis and dehiscence in the surgical wound. Despite PG being a rare condition, a differential diagnosis is important, because the debridement can exacerbate the condition and the antibiotics don’t have clinical effects. We present a case report of PG after a breast surgery. Case report: A 37-year-old Caucasian female presented with a growing breast lump and the desire to reduce the size of her breasts. The woman had no comorbities, especially no history of autoimmune disorders. In 2009, she performed a primary mammoplasty in another service. At that time, she had a wound infection that resulted in an unfavorable aesthetic result. The patient underwent a lumpectomy it the right breast for a benign tumor (fibroadenoma) that was growing. It the same procedure, the plastic surgeon performed a second mammoplasty with a smooth prosthesis. Ten days later she presented with bilateral breast hyperemia, wound purulent discharge and dehiscence, without fever. As all breast lesions were sparing the nipple-areola complex, we had a strong suspicion of PG. She was treated with glucocorticoid prednisone 40mg once daily, colchicine 0.5mg twice daily and tumor necrosis factor (TNF) blocker 40mg subcutaneous every two weeks. After starting immunobiological therapy, she responded quickly with complete wound healing. Discussion:PG diagnosis was done based on clinical characteristics. It is important to be aware that this condition is frequently mistaken for a wound infection, but antibiotics do not alleviate the condition. Misdiagnosis could lead also to surgical management for wound debridement which would probably make lesions worse. Most PG starts after four days to six weeks post-operatively. In this case it started ten days after the surgery. The PG occurred after a benign breast surgery with mammoplasty, but it can also occur after breast cancer surgeries and reconstructions. Our patient did not have any disease associated with PG, such as inflammatory bowel disease, spondyloarthritis, rheumatoid arthritis, or hematologic malignancy. As reported in the literature, the PG was bilateral, but sometimes it can be unilateral. There have never been any reports describing involvement of the nipples and areolas. We presented a rare case of PG in a woman without risk factors who had a successful treatment with glucocorticoids.
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Panciroli, C., A. Luoni, A. Bignamini, and P. Minghetti. "4CPS-061 Antibiotic prophylaxis for preventing surgical wound infection after elective caesarean section: meta-analysis of clinical trials." In Abstract Book, 23rd EAHP Congress, 21st–23rd March 2018, Gothenburg, Sweden. British Medical Journal Publishing Group, 2018. http://dx.doi.org/10.1136/ejhpharm-2018-eahpconf.152.
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Korobintseva, K. N., A. A. Gafarova, and N. A. Barkhatova. "The influence of polymorbide states on local immune responses and course wound process in surgical infection of soft tissues." In ТЕНДЕНЦИИ РАЗВИТИЯ НАУКИ И ОБРАЗОВАНИЯ. НИЦ «Л-Журнал», 2018. http://dx.doi.org/10.18411/lj-04-2018-111.
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Rocha, Aline Carvalho, Lays Samara da Costa Silva e. Silva, Gina Zully Carhuancho Flores, Cristina Poliana Rolim Saraiva dos Santos, and Gabriela Carvalho Pinheiro. "EVALUATION OF IMMEDIATE AND LATE COMPLICATIONS IN BREAST RECONSTRUCTION WITH IMPLANTS IN PATIENTS WITH BREAST CANCER TREATED IN A TERTIARY SERVICE IN CEARÁ." In Scientifc papers of XXIII Brazilian Breast Congress - 2021. Mastology, 2021. http://dx.doi.org/10.29289/259453942021v31s1071.
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Introduction: The technique of breast reconstruction using silicone implants is the predominant way for breast reconstruction worldwide. Over the last years there has been a growing interest in performing immediate reconstruction with single stage implantation after mastectomy as an attempt to simplify the reconstruction procedure and improve psychosocial morbidity, as well reducing costs. The reconstruction with single stage suggests a slightly higher complication rate related to implant loss. Objectives: To evaluate the immediate complications (up to 30 days after surgery) and late complications (30 days to two years after surgery) resulting from immediate breast reconstruction with implants in patients with breast cancer treated at a tertiary hospital in Ceará. Methods: Analytical observational study of a retrospective cohort, from the review of medical records of patients undergoing immediate breast reconstruction with prosthesis or temporary extensor after mastectomy for breast cancer, at Maternidade Escola Assis de Chateaubriand, from 2015 to 2019. Establishing the prevalence among the common characteristics related both to the surgical procedure to which they were submitted, and to the clinical-epidemiological profile of the patients. Results: The study was made with 63 women who underwent immediate breast reconstruction with a mean age of 47 years. It was observed that immediate and onetime breast reconstruction was the most prevalent, contributing with 77.7% of the cases analyzed. In 19 cases (30.1%), we observed some type of surgical complication, with surgical wound dehiscence being the most frequent (42.1%). Other complications detected were infection and implant loss (21.1%), capsular contracture (15.8%), seroma (10%), cellulitis (5.3%), and rupture of the expander (5.3%). Surgical complications were assessed according to the type of implant (prosthesis or temporary expander), use of radiotherapy and clinical conditions of patients. No statistical significance was found for these variables with surgical complications. Only the type of mastectomy performed was statistically significant, with radical mastectomy associated with half of the complications (p=0.045). Conclusions: Immediate breast reconstruction with single-time implant was the most used technique in our service, with a postoperative complication rate of around 30%. However, the biggest complication was the dehiscence of the surgical wound, but the infection of the implant did not cause the loss of reconstruction. Radiotherapy was not related to complications until two years after surgery.
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Lima, Juliana Ferreira de, Rebecca Correia de Oliveira, Antônio Carlos Toshihiro Nisida, Ricardo Faure, and Luis Henrique Gebrim. "RELATIONSHIP BETWEEN BODY MASS INDEX (BMI) AND SURGICAL COMPLICATIONS AFTER BREAST ONCOLOGICAL SURGERY." In Scientifc papers of XXIII Brazilian Breast Congress - 2021. Mastology, 2021. http://dx.doi.org/10.29289/259453942021v31s1068.
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Introduction: Obesity is a multifactorial chronic disease that can predispose to several comorbidities, including breast cancer. The Department of Health estimates the number of overweight people in Brazil is 65%. The relationship between weight and height (BMI, Body Mass Index) has been used by WHO to assess the degree of obesity in the population. Breast cancer is responsible for more than 8,000 deaths each year in Brazil. Despite advances in systemic treatment, surgery is one of the main treatments used, and obesity is a relevant factor that worsens the oncological prognosis and is predictive of perioperative complications. Objectives: The aim of this study is to assess the relationship between obesity and surgical complications in 5,657 breast cancer patients undergoing surgical treatment (conservative or radical) at Pérola Byington Hospital. Methods: A retrospective, cross-sectional study was carried out with 5,657 patients undergoing surgical treatment (conservative or radical) by the Braziliann Unified Health System (SUS) at the Women’s Health Reference Center at Hospital Pérola Byington from January 2011 to December 2019. Data were collected from the medical records of the institution. The patients were divided into six groups according to BMI=W/H2 (25), followed by hematoma, diagnosed in 72 patients, 59.7% overweight women. The third most common complication was infection of the surgical site in only 19 patients (0.3%), with 78.9% in overweight women. This fact can be explained by inadequate perfusion, deficiency of macro and micronutrients and hypoxia that impairs collagen synthesis, resulting in poor healing, causing dehiscence. From these data presented, it is possible to infer thatcomplications such as seroma, hematoma, infection of the surgical wound, dehiscence, and even loss of the surgical flap are strongly associated with increased body weight. Conclusions: We came to the conclusion that the increase in body weight, especially in patients with a BMI> 25, is an unfavorable factor for the occurrence of surgical complications in patients with breast cancer, and it is essential to provide guidance on the risks of complications in the preoperative evaluation for adjusting the best surgical procedure and mainly for considering late reconstruction.