Plastic wound protectors in laparoscopic colorectal surgery
DOI:
https://doi.org/10.18203/2349-2902.isj20191920Keywords:
Colorectal surgery, Plastic wound protector, Abdominal wall recurrence, Wound infection, Mini-laparotomy, Laparoscopic surgeryAbstract
Plastic wound protectors are used in colorectal surgery to reduce incidence of post-operative wound infection and port site metastasis. The aim of this study is to determine if this practice has research currency based on the available literature. A systematic literature search enabled critical appraisal of retrieved studies. Six studies focusing on the topic of interest were retrieved and rigorously analysed. Analysis of these studies revealed adequate support for this practice especially in reducing incidence of post-operative wound infections. Plastic wound protectors serve as a useful tool in preventing post-operative wound infections, but there is paucity of evidence to support its role in preventing port site metastasis.
References
Kercher KW, Nguyen TH, Harold KL, Poplin ME, Matthews BD, Sing RF, et al. Plastic wound protectors do not affect wound infection rates following laparoscopic-assisted colectomy. Surg Endosc. 2004;18:148-51.
Curet J. Port site metastases. Am J Surg. 2004;187:705-12.
Sookhai S, Redmond HP, Deasy JM. Use of an impervious wound edge protector decreased postoperative wound infection. Lancet. 1999;353:1585.
Greif R, Akca O, Horn EP, Kurz A, Sessler DI. Supplemental perioperative oxygen to reduce the incidence of surgical-wound infection. Outcomes Research Group. N Engl J Med. 2000;342:161–7.
Ives CL, Harrison DK, Stansby GS. Tissue oxygen saturation, measured by near-infrared spectroscopy, and its relationship to surgical site infections. Br J Surg. 2007;94:87–91.
Horiuchi T, Tanishima H, Tamagawa K, Matsuura I, Nakai H, Shouno Y, et aI Randomized control investigation of the anti- infective properties of the Alexis Retractor/Protector of incision sites. J Trauma. 2007;62:212-5.
Nakagoe T, Sawai T, Tsuji T, Ayabe H. Use of minilaparotomy in the treatment of colonic cancer. Br J Surg. 2001;88:831-6.
Mohan HM, McDermott S, Fenelon L, Fearon NM, O'Connell PR, Oon SF, et al. Plastic wound retractors as bacteriological barriers in gastrointestinal surgery: a prospective multi-institutional trial. J Hosp Infect. 2012;81(2):109-13.
Maxwell JG, Ford CR, Peterson DE, Richards RC. Abdominal wound infections and plastic drape protectors. Am J Surg. 1969;118:844–8.
Abraham NS, Young JM, Solomon MJ. Meta-analysis of short-term outcomes after laparoscopic resection for colorectal cancer. Br J Surg. 2004;91:1111-24
Psaila JV, Wheeler MH, Crosby DL. The role of plastic wound drapes in the prevention of wound infection following abdominal surgery. Br J Surg. 1977;64:729–32.
Reid K, Pockney P, Draganic B, Smith SR. Barrier wound protection decreases surgical site infection in open elective colorectal surgery: a randomized clinical trial. Dis Colon Rectum. 2010;53:1374–80.
Kiran RP, El-Gazzaz GH, Vogel JD, Remzi FH. Laparoscopic approach significantly reduces surgical site infections after colorectal surgery: data from National Surgical Quality Improvement Program. J Am Coll Surg. 2010;211(2):232-8.