Reduction of surgical site infections by use of pulsatile lavage irrigation after prolonged intra-abdominal surgical procedures

Mehrdad Nikfarjam, Eric T. Kimchi, Niraj J. Gusani, Diego M. Avella, Serene Shereef, Kevin F. Staveley-O'Carroll

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background: Surgical site infections cause significant postoperative morbidity and may be reduced by pressurized irrigation of high-risk laparotomy wounds before closure. This was a retrospective review (June 2007 to May 2008) from a surgical unit at a tertiary care center. Methods: Patients undergoing laparotomy extending beyond 4 hours, when a standard wound management strategy was instituted by either simple irrigation or pressurized pulsatile lavage (<15 psi) with saline before closure, were included. The outcome measures were the surgical site infections and factors contributing to them. Results: The median surgical time for the patients was 8 hours, with 34 wounds managed by simple irrigation and 42 wounds managed by pulse irrigation. Both groups had similar characteristics. Overall there were 15 (20%) surgical site infections. Significantly fewer infections occurred in the pulse irrigation group (10% vs 32%; P = .019). The use of a pulse irrigation device was the only factor associated with a reduction in wound infections (P = .019). Conclusions: Surgical site infections appear to be reduced with pulsatile lavage irrigation of wounds before skin closure in patients undergoing prolonged intra-abdominal surgeries.

Original languageEnglish (US)
Pages (from-to)381-386
Number of pages6
JournalAmerican Journal of Surgery
Volume198
Issue number3
DOIs
StatePublished - Sep 1 2009

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Surgical Wound Infection
Therapeutic Irrigation
Wounds and Injuries
Laparotomy
Wound Infection
Operative Time
Tertiary Care Centers
Outcome Assessment (Health Care)
Morbidity
Equipment and Supplies
Skin
Infection

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Nikfarjam, Mehrdad ; Kimchi, Eric T. ; Gusani, Niraj J. ; Avella, Diego M. ; Shereef, Serene ; Staveley-O'Carroll, Kevin F. / Reduction of surgical site infections by use of pulsatile lavage irrigation after prolonged intra-abdominal surgical procedures. In: American Journal of Surgery. 2009 ; Vol. 198, No. 3. pp. 381-386.
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Reduction of surgical site infections by use of pulsatile lavage irrigation after prolonged intra-abdominal surgical procedures. / Nikfarjam, Mehrdad; Kimchi, Eric T.; Gusani, Niraj J.; Avella, Diego M.; Shereef, Serene; Staveley-O'Carroll, Kevin F.

In: American Journal of Surgery, Vol. 198, No. 3, 01.09.2009, p. 381-386.

Research output: Contribution to journalArticle

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