腹部手術における術後創管理の工夫

概要

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OBJECTIVE: To compare occlusive hydrocolloid dressing / closed drain (Group B) and gauze dressing / opened drain (Group A) with regard to the cost and incidence of surgical site infection after abdominal surgery. METHODS: We performed research on 200 patients who underwent abdominal operation in our department. Group A and B were compared by cost and the incidence of complications, including SSI rate. RESULTS: The SSI rate was 6.5% in all cases. No statistically significant differences were observed between both the groups, Group B (4.1%) tended to be lower in SSI rate than Group A (13.0%) (p=0.067). The SSI rate of Group B was low comparison with Group A. When NNIS Risk Index compared in 0-2 point cases, for the SSI rate, Group A was 8.0% and Group B was 4.1%. By the wound treatment expense including personnel expenses, Group B (3,586.5yen) was not as expensive as Group A (8,295.0yen). The wound treatment expense of a case after colectomy was clearly not as expensive in Group B (3,337.6yen) in comparison with Group A (10,560.0yen). CONCLUSION: No statistically significant differences in SSI rate existed between the use of hydrocolloid dressing / closed drain or gauze dressing / opened drain. However, a hydrocolloid dressing / closed drain management is useful in reduction of cost, labor saving, and decrease in medical waste.
2010-09-30