Prolonged Umbilical Port Insertion Time Increases the Incidence of Umbilical Surgical Site Infection in Laparoscopic Percutaneous Extraperitoneal Closure for Inguinal Hernia in Children.

IF 1.1 4区 医学 Q3 SURGERY
Shohei Yoshimura, Kengo Hattori, Emi Tsuji, Jiro Tsugawa, Eiji Nishijima
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引用次数: 0

Abstract

Introduction: Umbilical surgical site infection (U-SSI) is the most common complication of laparoscopic percutaneous extraperitoneal closure (LPEC) for the treatment of inguinal hernia in children. Prolonged operative time is known to increase the risk of SSI in general pediatric surgery; however, the association between prolonged operative time and post-LPEC U-SSI is unclear. The present study aimed to elucidate the association between umbilical port insertion time and the incidence of U-SSI. Materials and Methods: The present study included all patients <16 years of age who underwent LPEC for the treatment of inguinal hernia between June 2018 and May 2023 at our institution. Those who underwent umbilical hernia repair or other procedures were excluded. We retrospectively collected and analyzed the following: patient demographics; operative data; and U-SSI data. The cutoff value for the umbilical port insertion time was determined using receiver operating characteristic analysis, and the incidence of U-SSI was compared based on the cutoff value, determined to be 8 minutes. Results: A total of 232 patients (133 boys; mean age, 4.6 ± 3.3 years) were eligible for the present study, 7 (3.0%) of which developed superficial incisional post-LPEC U-SSI within a median of 7.5 [4-19] days. The incidence of U-SSI was 20.0% in the long (≥8 minutes) versus 2.3% in the short (<8 minutes) umbilical port insertion time group (P = .03). Conclusion: Prolonged umbilical port insertion time (≥8 minutes) increases the incidence of post-LPEC U-SSI during the treatment of inguinal hernia in children.

儿童腹腔镜经皮腹膜外疝气闭合术中,脐孔插入时间延长会增加脐孔手术部位感染的发生率。
导言:脐部手术部位感染(U-SSI)是腹腔镜经皮腹膜外闭合术(LPEC)治疗儿童腹股沟疝最常见的并发症。众所周知,手术时间延长会增加普通儿科手术中发生 SSI 的风险;然而,手术时间延长与 LPEC 术后 U-SSI 之间的关系尚不清楚。本研究旨在阐明脐孔插入时间与 U-SSI 发生率之间的关系。材料和方法:本研究包括所有患者:共有 232 名患者(133 名男孩;平均年龄为 4.6 ± 3.3 岁)符合本研究的条件,其中 7 名患者(3.0%)在中位 7.5 [4-19] 天内发生了 LPEC 术后浅表切口 U-SSI。长时间(≥8 分钟)U-SSI 发生率为 20.0%,而短时间为 2.3%(P = 0.03)。结论:在治疗儿童腹股沟疝的过程中,延长脐孔插入时间(≥8 分钟)会增加 LPEC 术后 U-SSI 的发生率。
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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
163
审稿时长
3 months
期刊介绍: Journal of Laparoendoscopic & Advanced Surgical Techniques (JLAST) is the leading international peer-reviewed journal for practicing surgeons who want to keep up with the latest thinking and advanced surgical technologies in laparoscopy, endoscopy, NOTES, and robotics. The Journal is ideally suited to surgeons who are early adopters of new technology and techniques. Recognizing that many new technologies and techniques have significant overlap with several surgical specialties, JLAST is the first journal to focus on these topics both in general and pediatric surgery, and includes other surgical subspecialties such as: urology, gynecologic surgery, thoracic surgery, and more.
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