A retrospective study to investigate the effect of pressurized incision dressing on the occurrence of incisional infection after laparoscopic cholecystectomy

IF 0.8 Q4 SURGERY
QingDa Wang, LouZong Sun, GuiGang Qiu, Nan Yang
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引用次数: 0

Abstract

Background

Laparoscopic cholecystectomy (LC) has been established as the gold standard for gallstone treatment due to its minimal invasiveness and rapid recovery. Despite the low incidence of complications after LC, postoperative incisional infections have received widespread attention from surgeons. This study aimed to evaluate whether pressurized incision dressing could reduce the occurrence of incisional infections.

Methods

This study retrospectively analyzed 396 patients diagnosed with gallbladder stones who underwent LC at our institution between January 2022 and December 2023. Patients were divided into standard dressing group A (n=200) and pressurized dressing group B (n=196) based on different postoperative incisional treatments. Clinical outcomes were compared between the two groups. Additionally, subset analyses were conducted on patients with BMI ≥30 kg/m2 and acute cholecystitis (AC) to further evaluate the differences in clinical outcomes with or without pressurized incision dressing.

Results

The incisional infection rate was 8.0 % (16/200) in the standard dressing group A and 6.1 % (12/196) in the pressurized dressing group B, with no significant difference. Among patients with BMI ≥30 kg/m2, no significant difference in incisional infection rate was observed between standard dressing group A1 and pressurized dressing group B1 (P=0.52). However, in patients with AC, pressurized incision dressing significantly reduced the incisional infection rate (23.7 % in the standard dressing group A2 vs. 9.8 % in the pressurized dressing group B2, P=0.04).

Conclusions

Pressurized incision dressing can reduce the incidence of incisional infection after LC in patients with AC.
回顾性研究加压切口敷料对腹腔镜胆囊切除术后切口感染发生的影响
腹腔镜胆囊切除术(LC)因其微创和快速恢复而被确立为胆结石治疗的金标准。尽管LC术后并发症发生率较低,但术后切口感染已受到外科医生的广泛关注。本研究旨在评估加压切口敷料是否能减少切口感染的发生。方法本研究回顾性分析了2022年1月至2023年12月期间在我院接受LC治疗的396例胆囊结石患者。根据术后切口处理方式的不同,将患者分为标准敷料组A(200例)和加压敷料组B(196例)。比较两组患者的临床结果。此外,对BMI≥30 kg/m2的急性胆囊炎(AC)患者进行亚组分析,进一步评估加压切口敷料与不加压切口敷料的临床结果差异。结果标准敷料A组切口感染率为8.0%(16/200),压力敷料B组切口感染率为6.1%(12/196),差异无统计学意义。在BMI≥30 kg/m2的患者中,标准敷料组A1与加压敷料组B1的切口感染率无显著差异(P=0.52)。然而,在AC患者中,加压切口敷料显著降低了切口感染率(标准敷料组A2为23.7%,加压敷料组B2为9.8%,P=0.04)。结论加压切口敷料可降低AC术后切口感染的发生率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
0.80
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0.00%
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