Does Preoperative Bowel Preparation Reduce Surgical Site Infections During Elective Ventral Hernia Repair?

Journal of the American College of Surgeons
David M KrpataMichael J Rosen

Abstract

To date, little is known about the benefits of preoperative bowel preparation in patients undergoing elective ventral hernia repair (VHR). The purpose of this study was to determine the effect of preoperative bowel preparation on 30-day wound events in patients undergoing elective VHR using the Americas Hernia Society Quality Collaborative (AHSQC). All patients undergoing elective VHR from January 2013 through January 2016 were identified within the AHSQC. Patients undergoing emergency VHR and those with a CDC wound class IV were excluded from our analysis. Patients were divided into 2 groups: Clean (CDC wound class I) and Contaminated (CDC wound classes II and III). The association of preoperative bowel preparation with 30-day wound events was investigated using logistic regression modeling. A total of 3,709 patients met inclusion criteria; 3,101 (83.6%) had CDC wound class I, and 608 (16.4%) had CDC wound classes II or III. Within the Clean group, patients who underwent preoperative bowel preparation were significantly more likely to experience a surgical site infection (SSI), surgical site occurrence (SSO), and surgical site occurrence requiring procedural intervention (SSOPI). Within the Contaminated group, patients who und...Continue Reading

References

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Citations

Apr 21, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ivy N Haskins, Arielle J Perez
Jun 27, 2020·Plastic and Reconstructive Surgery·Shervin A EtemadBenjamin K Poulose
Aug 24, 2018·Plastic and Reconstructive Surgery·Nichole A JoslynJeffrey E Janis
May 15, 2018·The Surgical Clinics of North America·Michael J Rosen
Jul 23, 2019·Advances in Surgery·Javier OteroB Todd Heniford
Jul 22, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·K C MontelioneM J Rosen

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