OBJECTIVE: The purpose of this study was to evaluate the effect of subcutaneous closed drainage systems and prophylactic antibiotics on the wound breakdown rate in obese patients undergoing gynecologic surgery. STUDY DESIGN: A prospective study was performed on 197 obese patients who were randomly selected to have a subcutaneous drain. Incision closure technique was standardized. Antibiotic usage was not randomized. Demographic data, perioperative data, and postoperative complications were noted and analyzed by X2 test and 2 x 2 contingency tables. RESULTS: The overall complication rate was 25%, with 20% (22/109) among the group receiving a drain versus 31% (27/88) without a drain. Seventeen patients (8.6%) had wound breakdowns: 7 of 109 (6.4%) with drains and 10 of 88 (11.4%) without drains. Prophylactic antibiotics were given to 46% (50/109) in the drain group and 51% (45/88) without a drain. Fewer patients (2%) with a drain receiving antibiotics had wound breakdowns. The group with the most breakdowns had neither a drain nor antibiotics (14%). CONCLUSION: We suggest the use of subcutaneous drains plus prophylactic antibiotics may decrease morbidity when operating on obese gynecologic patients.
RCT Entities:
OBJECTIVE: The purpose of this study was to evaluate the effect of subcutaneous closed drainage systems and prophylactic antibiotics on the wound breakdown rate in obesepatients undergoing gynecologic surgery. STUDY DESIGN: A prospective study was performed on 197 obesepatients who were randomly selected to have a subcutaneous drain. Incision closure technique was standardized. Antibiotic usage was not randomized. Demographic data, perioperative data, and postoperative complications were noted and analyzed by X2 test and 2 x 2 contingency tables. RESULTS: The overall complication rate was 25%, with 20% (22/109) among the group receiving a drain versus 31% (27/88) without a drain. Seventeen patients (8.6%) had wound breakdowns: 7 of 109 (6.4%) with drains and 10 of 88 (11.4%) without drains. Prophylactic antibiotics were given to 46% (50/109) in the drain group and 51% (45/88) without a drain. Fewer patients (2%) with a drain receiving antibiotics had wound breakdowns. The group with the most breakdowns had neither a drain nor antibiotics (14%). CONCLUSION: We suggest the use of subcutaneous drains plus prophylactic antibiotics may decrease morbidity when operating on obese gynecologic patients.
Authors: Katharine W Markell; Ben M Hunt; Paul D Charron; Rodney J Kratz; Jeffrey Nelson; John T Isler; Scott R Steele; Richard P Billingham Journal: J Gastrointest Surg Date: 2010-05-15 Impact factor: 3.452
Authors: Lindsay M Kuroki; Mary M Mullen; L Stewart Massad; Ningying Wu; Jingxia Liu; David G Mutch; Matthew A Powell; Andrea R Hagemann; Premal H Thaker; Carolyn K McCourt; Akiva P Novetsky Journal: Obstet Gynecol Date: 2017-07 Impact factor: 7.661
Authors: Akiva P Novetsky; Israel Zighelboim; Saketh R Guntupalli; Yevgeniya J M Ioffe; Nora T Kizer; Andrea R Hagemann; Matthew A Powell; Premal H Thaker; David G Mutch; L Stewart Massad Journal: Gynecol Oncol Date: 2014-06-18 Impact factor: 5.482
Authors: A J Pikarsky; Y Saida; T Yamaguchi; S Martinez; W Chen; E G Weiss; J J Nogueras; S D Wexner Journal: Surg Endosc Date: 2002-02-06 Impact factor: 4.584
Authors: F E Muysoms; S A Antoniou; K Bury; G Campanelli; J Conze; D Cuccurullo; A C de Beaux; E B Deerenberg; B East; R H Fortelny; J-F Gillion; N A Henriksen; L Israelsson; A Jairam; A Jänes; J Jeekel; M López-Cano; M Miserez; S Morales-Conde; D L Sanders; M P Simons; M Śmietański; L Venclauskas; F Berrevoet Journal: Hernia Date: 2015-01-25 Impact factor: 4.739