Reducing Surgical Site Infections in Abdominal Surgery: Are Ring Retractors Effective? A Systematic Review and Meta-Analysis

Surgical Infections
Khalid AhmedS R Walsh

Abstract

Surgical site infection (SSI) is one of the main causes of morbidity and death after surgical intervention. The use of physical barriers, including gloves, drapes, and gowns to reduce SSI after abdominal surgery is long-standing practice. The aim of this systematic review and meta-analysis was to determine the efficacy of ring incision retractors in reducing the risk of SSI in abdominal surgery. PubMed, CINAHL, the Cochrane randomized controlled trials (RCTs) Central Register, and the ISRCTN registry were searched for RCTs in which ring retractors were utilized to reduce SSI in abdominal surgery. The PRISMA guidelines and RevMan 5.3 were used for study selection and analysis. Additional subgroup analyses were performed, including trials using incision class (clean, clean-contaminated contaminated, and dirty) and trials that used the U.S. Centers for Disease Control and Prevention's SSI definition in their protocol. A total of 19 RCTs inclusive of 4,229 patients were included. The utility of ring retractors in reducing SSI was suggested by an overall risk ratio of 0.62 (95% confidence interval 0.48-0.81). However, study heterogeneity caused by differences in effect size between individual RCTs, the non-standardized utilization o...Continue Reading

References

Oct 1, 1977·The British Journal of Surgery·J V PsailaD L Crosby
Feb 1, 1972·The British Journal of Surgery·J A WilliamsL J Lees
Dec 1, 1969·American Journal of Surgery·J G MaxwellR C Richards
Dec 2, 1999·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·K B KirklandD J Sexton
Feb 23, 2010·International Journal of Surgery·David MoherUNKNOWN PRISMA Group
May 10, 2012·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·K P ChengK Arumugam
May 16, 2012·International Journal of Colorectal Disease·Peter BaierStefan Utzolino
Aug 2, 2013·BMJ : British Medical Journal·Thomas D PinkneyUNKNOWN ROSSINI Trial Investigators

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Citations

Jul 25, 2017·Head & Neck·Miklos PerenyeiStuart C Winter

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Methods Mentioned

BETA
cesarean section

Software Mentioned

GelPOINT
RevMan

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