Vacuum-assisted management of surgical site infections after liver transplantation: 15-year experience in a tertiary hepatobiliary center

Updates in Surgery
Paolo MagistriF Di Benedetto

Abstract

Immune compromised as well as critically ill patients are at higher risk of surgical wound infection and dehiscence. Wound infections critically influence the outcomes after liver transplantation. In particular, it was shown that they significantly reduce the overall survival rate when compared to patients with uneventful wound healing, and their occurrence is associated with death or graft loss within 1-year post-transplantation. From January 2001 through December 2017, 763 patients underwent liver transplantation in our Institution, the Hepato-Pancreato-Biliary Surgery and Liver Transplantation Unit, "Policlinico" University Hospital, University of Modena and Reggio Emilia, Modena, Italy. We retrospectively analyzed data from our prospectively maintained database of patients treated with a negative pressure therapy device due to wound or abdominal infections. 13 patients underwent negative pressure treatments for surgical site infection after liver transplantation in our institution. Ten superficial "supra-fascial" applications (SF group) and three deeper abdominal (Ab group) were reported. Mean in-hospital stay for the SF group was 42.6 days, ranging from 8 to 80, while for the Ab group was 62 days (range 23-133), with an ov...Continue Reading

References

May 30, 2008·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Angel AsensioUNKNOWN Red de Estudio de la Infección en el Trasplante - Grupo de Estudio de la Infección en el Trasplante
Jun 27, 2008·Transplantation·María E García PradoJosé M Cisneros Herreros
Dec 7, 2010·Transplant International : Official Journal of the European Society for Organ Transplantation·Giacomo ZanusUmberto Cillo
Dec 21, 2010·Transplantation Proceedings·A J CockbainG J Toogood
Mar 8, 2011·Journal of Wound Care·Frank Peinemann, S Sauerland
Jul 13, 2011·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Jay A Fishman
Aug 11, 2011·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·W C HellingerJ H Nguyen
Apr 30, 2013·Transplantation Proceedings·V Avkan-OguzS Karademir
Nov 26, 2013·The Surgical Clinics of North America·Demetrios Demetriades, Ali Salim
Jul 19, 2017·World Journal of Surgery·Christian HobeikaEric Vibert
Feb 17, 2018·American Journal of Surgery·T ChanA K Buczkowski

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Citations

Nov 7, 2019·Updates in Surgery·Daniele DondossolaGiorgio Rossi
May 12, 2019·Clinical Transplantation·Lilian M AbboUNKNOWN AST ID Community of Practice

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