A combination of subcuticular sutures and subcutaneous closed-suction drainage reduces the risk of incisional surgical site infection in loop ileostomy closure.

• 資料種別: 博士論文
• タイトル: A combination of subcuticular sutures and subcutaneous closed-suction drainage reduces the risk of incisional surgical site infection in loop ileostomy closure.
• 著者・編者: Fukuoka, Kohei; Koyama, Fumikazu; Kuge, Hiroyuki; Ohara, Shinsaku; Nakamoto, Takayuki; Iwasa, Yousuke; Takei, Takeshi; Matsumoto, Yayoi; Sadamitsu, Tomomi; Sho, Masayuki
• 著者標目: Fukuoka, Kohei; Koyama, Fumikazu; Kuge, Hiroyuki; Ohara, Shinsaku; Nakamoto, Takayuki; Iwasa, Yousuke; Takei, Takeshi; Matsumoto, Yayoi; Sadamitsu, Tomomi; Sho, Masayuki
• 出版事項: Springer Nature
• 出版年月日等: 2021-04
• 出版年（W3CDTF）: 2021-04
• 並列タイトル等: 皮下埋没縫合および皮下閉鎖式陰圧ドレーン挿入による、回腸人工肛門閉鎖術後創部感染の減少効果について
• タイトル（掲載誌）: Surgery today
• 巻号年月日等（掲載誌）: 51 4
• 掲載巻: 51
• 掲載号: 4
• 掲載ページ: 605-611
• ISSN（掲載誌）: ISSN : 0941-1291
• 授与機関名: 奈良県立医科大学
• 授与年月日: 2021-03-15
• 報告番号: 乙第1496号
• 学位: 博士（医学）
• 本文の言語コード: eng
• 件名標目: Loop ileostomy closure; Subcuticular suture; Closed-suction drainage; Surgical site infection
• 対象利用者: 一般
• 一般注記: type:Thesis; Purpose: The purpose of this study was to evaluate the effectiveness of a wound closure method using a combination of subcuticular sutures and subcutaneous closed-suction drainage (SS closure) for preventing incisional surgical site infection (SSI) in loop ileostomy closure. Methods: A total of 178 consecutive patients who underwent loop ileostomy closure at Nara Medical University Hospital between 2004 and 2018 were retrospectively assessed. The patients were divided into 2 groups: the conventional skin closure (CC) group from 2004 to 2009 (75 patients) and the SS closure (SS) group from 2010 to 2018 (103 patients). The incidence of incisional SSI was compared between the two groups, and the factors associated with incisional SSI were examined by univariate and multivariate analyses. Results: Incisional SSI occurred in 7 cases (9.3%) in the CC group but was significantly reduced to only 1 case (0.9%) in the SS group (p = 0.034). In the univariate analysis, the hemoglobin levels, serum creatinine levels, and SS closure were associated with incisional SSI. SS closure was the only independent preventive factor for incisional SSI according to the multivariate analysis (hazard ratio = 0.24, p = 0.011). Conclusion: The combination of subcuticular sutures and subcutaneous closed-suction drainage may be a promising way of preventing incisional SSI in loop ileostomy closure.; 博士（医学）・乙第1496号・令和3年3月15日; © Springer Nature Singapore Pte Ltd. 2020; This is a post-peer-review, pre-copyedit version of an article published in Surgery today. The final authenticated version is available online at: https://doi.org/10.1007/s00595-020-02128-x.; identifier:Surgery today Vol.51 No.4 p.605-611 (2021 Apr); identifier:09411291; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/3920; identifier:Surgery today, 51(4): 605-611
• 一次資料へのリンクURL: fulltext; http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3920/1/01%e4%b9%991496%e6%9c%ac%e6%96%87%e3%81%ae%e8%a6%81%e6%97%a8.pdf; http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3920/2/02%e4%b9%991496%e5%af%a9%e6%9f%bb%e8%a6%81%e6%97%a8.pdf; http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3920/6/03%e4%b9%991496%e6%9c%ac%e6%96%87.pdf
• オンライン閲覧公開範囲: インターネット公開
• 関連情報（DOI）: 10.1007/s00595-020-02128-x
• 掲載誌（NCID）: AA10824685; https://ci.nii.ac.jp/ncid/AA10824685
• 連携機関・データベース: 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• 提供元機関・データベース: 奈良県立医科大学 : 奈良県立医科大学機関リポジトリ GINMU