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KMID : 0914820070070040248
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Journal of the Korean Gastric Cancer Association
2007 Volume.7 No. 4 p.248 ~ p.253
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Effect of Operative Wound Protection on Surgical Wound Complications
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Lim Jin-Hong
Kim Sung-Soo
Choi Won-Hyuk
Oh Sung-Jin
Hyung Woo-Jin
Choi Seung-Ho
Noh Sung-Hoon
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Abstract
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Purpose: Surgical wound complications remain a cause of morbidity and mortality among postoperative patients, and the cost of caring for patients with a surgical wound complication is substantial. The purpose of this study was to
evaluate the ability of a vinyl wound protector to reduce the rate of wound complications when used in clean-contaminated surgery.
Materials and Methods: Between May 2006 and September 2006, 295 patients with a gastric cancer that underwent gastric surgery were studied prospectively, and the patients were randomized into one of two groups: the no wound protector group (n=137) or the polyethylene protector group (n=132).
Results: The demographics and operation type and operation time were similar for patients in both groups. The rate of wound complication was different between patients in the no protector group (n=42) and the polyethylene protector
group (n=12) (P=0.001) and the rates of seroma (P=0.001), infection (P=0.030) and dehiscence (P=0.282) were different
for the two groups. The postoperative hospital stay was significantly shorter in the polyethylene protector group of
patients (P=0.040).
Conclusions: The use of a polyethylene protector resulted in a reduction of the surgical wound complication rate, and the cost of caring for patients, and morbidity and mortality among postoperative patients could be reduced.
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KEYWORD
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Operative wound complication, Wound protector
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