Effect of Hyperoxygenation During Surgery on Surgical Site Infection in Colorectal Surgery
Annals of Coloproctology
;
: 9-14, 2019.
Article
in English
| WPRIM
| ID: wpr-762295
ABSTRACT
PURPOSE:
Despite the use of different surgical methods, surgical site infection is still an important cause of mortality and morbidity in patients and imposes a considerable cost on the healthcare system. Administration of supplemental oxygen during surgery has been reported to reduce surgical site infection (SSI); however, that result is still controversial. This study was performed to evaluate the effect of hyperoxygenation during colorectal surgery on the incidence of wound infection.METHODS:
This study was a prospective double-blind case-control study. The main aim of the study was to evaluate the effect of hyperoxygenation during colorectal surgery on the incidence of SSI. Also, secondary outcomes, such as atelectasis, pneumonia, respiratory failure, length of hospital stay, and required hospitalization in the intensive care unit were evaluated.RESULTS:
SSI was recorded in 2 patients (2 of 40, 5%) in the hyperoxygenation group (FiO2 80%) and 6 patients (6 of 40, 15%) in the control group (FiO2 30%) (P < 0.05). Time of hospitalization was 6 ± 6.4 days in the hyperoxygenation group and 9.2 ± 2.4 days in the control group (P < 0.05).CONCLUSION:
This study showed a positive effect of hyperoxygenation in reducing SSI in colorectal surgery, especially surgery in an emergency setting. When the low risk, low cost, and effectiveness of this method in patients undergoing a laparotomy are considered, it is recommended for all patients undergoing colorectal surgery.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Oxygen
/
Pneumonia
/
Respiratory Insufficiency
/
Pulmonary Atelectasis
/
Surgical Wound Infection
/
Wound Infection
/
Case-Control Studies
/
Incidence
/
Prospective Studies
/
Mortality
Type of study:
Controlled clinical trial
/
Incidence study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
Language:
English
Journal:
Annals of Coloproctology
Year:
2019
Type:
Article
Similar
MEDLINE
...
LILACS
LIS