Effects of Subcutaneous Closed Suction Drain for the Prevention of Incisional SSI in Patients with Colorectal Perforation

Yasuo  Sumi; Kimihiro  Yamashita; Kiyonori  Kanemitsu; Shingo  Kanaji; Masashi  Yamamoto; Tatsuya  Imanishi; Tetsu  Nakamura; Satoshi  Suzuki; Kenichi  Tanaka; Yoshihiro  Kakeji

doi:10.4236/ss.2014.53022

Yasuo Sumi, Kimihiro Yamashita, Kiyonori Kanemitsu, Shingo Kanaji, Masashi Yamamoto, Tatsuya Imanishi, Tetsu Nakamura, Satoshi Suzuki, Kenichi Tanaka, Yoshihiro Kakeji

Abstract: Objective: To determine if a subcutaneous closed suction drain decreases the incidence of wound complications in patients undergoing emergency surgery for colorectal perforation. Materials and Methods: Data on 47 patients who underwent emergency operations for colorectal perforation were examined retrospectively. The clinical features of these cases with or without the use of the J-VACTM Drainage System were examined, and statistical analysis was performed. Results: In these high-risk cases, the overall incidence of incisional surgical site infection (SSI) was 36.2%. The incidence of incisional SSI in these cases with and without the J-VACTM Drainage System was 16.7% and 56.5%, respectively. Conclusion: Our results suggest that a subcutaneous closed suction drain is effective for preventing incisional SSI in patients who have undergone emergency operations for colorectal perforation.

Keywords: Surgical Wound Infection; Intestinal Perforation; Closed Suction Drainage; Emergency Operation

Cite this paper: Sumi, Y. , Yamashita, K. , Kanemitsu, K. , Kanaji, S. , Yamamoto, M. , Imanishi, T. , Nakamura, T. , Suzuki, S. , Tanaka, K. and Kakeji, Y. (2014) Effects of Subcutaneous Closed Suction Drain for the Prevention of Incisional SSI in Patients with Colorectal Perforation. Surgical Science, 5, 122-127. doi: 10.4236/ss.2014.53022.

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