Subcuticular absorbable suture with subcutaneous drainage system prevents incisional ssi after hepatectomy for hepatocellular carcinoma

Eiji Tsujita, Yo Ichi Yamashita, Kazuki Takeishi, Ayumi Matsuyama, Shin Ichi Tsutsui, Hiroyuki Matsuda, Akinobu Taketomi, Ken Shirabe, Teruyoshi Ishida, Yoshihiko Maehara

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Abstract

Background The effectiveness of subcuticular absorbable suture with subcutaneous drainage to decrease the risk of postoperative incisional surgical site infection (SSI) in hepatocellular carcinoma (HCC) patients was evaluated. Methods A total of 149 patients with HCC who underwent hepatectomy (Hx) were retrospectively investigated. Patients were divided into two groups: the patients with subcuticular suture combined with subcutaneous drainage (the drainage group; 61 patients) and the patients with nylon suture without subcutaneous drainage (the nylon group; 88 patients). After the operations, the complication rate of postoperative incisional SSI was analyzed and compared between the two groups. Results In the drainage group the rate of incisional SSI was significantly lower compared to the nylon group: 14-3 % (p = 0.033), respectively. Patients with incisional SSI needed significantly longer postoperative hospital care than the patients without incisional SSI: 28 versus 15 days (p < 0.005). Multivariate analysis revealed that subcuticular absorbable suture with subcutaneous drainage significantly reduced the occurrence of incisional SSI (odds ratio; 0.15; p = 0.034). Conclusions We have demonstrated that the subcuticular suture with subcutaneous drainage is effective in preventing incisional SSI in patients undergoing Hx for HCC.

Original languageEnglish
Pages (from-to)1651-1656
Number of pages6
JournalWorld journal of surgery
Volume36
Issue number7
DOIs
Publication statusPublished - Jul 2012

All Science Journal Classification (ASJC) codes

  • Surgery

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    Tsujita, E., Yamashita, Y. I., Takeishi, K., Matsuyama, A., Tsutsui, S. I., Matsuda, H., Taketomi, A., Shirabe, K., Ishida, T., & Maehara, Y. (2012). Subcuticular absorbable suture with subcutaneous drainage system prevents incisional ssi after hepatectomy for hepatocellular carcinoma. World journal of surgery, 36(7), 1651-1656. https://doi.org/10.1007/s00268-012-1524-1