Veysel Barış TURHAN, Ramazan TOPCU, Alp YILDIZ

Preoperatif cilt antisepsisi için 2 farklı rejimin cerrahi alan enfeksiyon sonuçları: povidon-iyot ile tek katmana karşı povidon-iyot / oktenidin dihidroklorür ile çift katman

Amaç: Cerrahi alan enfeksiyonu (SSI), herhangi bir ameliyattan sonra sık görülen bir komplikasyondur. SSI, yeni teknikler, yeni malzemeler ve yeni prosedürlerin geliştirilmesine rağmen, uzun süreli hastanede yatış, morbidite ve maliyet ücretlerinin ana nedenlerinden biri olmaya devam etmektedir. Bu çalışma, tek veya çift katmanlı dezenfektan uygulamasına ilişkin postoperatif sonuçları karşılaştırmayı amaçlamaktadır. Gereç ve Yöntemler: : Bu retrospektif bir çalışmadır. Prolen mesh ile Lichtenstein gerilimsiz açık fıtık onarımı sonrası 2 farklı preoperatif cilt dezenfeksiyon yönteminin sonuçlarını çıkarmayı amaçlayan geriye dönük bir çalışmadır. Bu çalışmaya toplam 298 hasta katılmıştır. Bu, SSI açık herniorafi sonuçlarını prolen mesh ile karşılaştıran retrospektif bir çalışmadır. Bulgular: Grup-1'de 13 hastada (% 6.80), Grup-2'de ise 3 hastada (% 2.80) yara enfeksiyonu meydana geldi ve bu Grup-1'den istatistiksel olarak anlamlı derecede düşüktü (p˂0.05). Grup-1'den 1 hasta hariç tüm hastaların yüzeyel yara enfeksiyonu temel antibiyotik tedavisi ile çözüldü. Bu hastada parenteral antibiyoterapi gerektiren yara enfeksiyonu gelişti ve 10 günlük tedaviden sonra çözüldü. Sonuç: Sonuçlarımızın gösterdiği gibi, oktenidin dihidroklorürün geleneksel dezenfektan solüsyonlarına güçlü bir alternatif olarak düşünülebileceğini, ancak tek bir oktenidin dihidroklorür uygulamasıyla daha ileri araştırmalara ihtiyaç olduğunu öne sürüyoruz.

Anahtar Kelimeler:

Herniorrhaphy, cilt hazırlığı, cilt antisepsisi

Surgical site infection outcomes of 2 different regimens for preoperative skin antisepsis: single layer with povidone-iodine versus double layer with povidone-iodine/ octenidine dihydrochloride

Aim: Surgical site infection (SSI) is a frequent complication following any surgery. SSI still one of the main causes of elongated hospitalization, morbidity, and cost charges despite the development of new techniques, new materials, and new procedures. This study aims to compare the postoperative outcomes concerning single or double-layer or disinfectant application. Material and Methods: This is a retrospective study aiming to inference the results of 2 different methods of preoperative skin disinfection after Lichtenstein tension-free open hernia repair with prolene mesh. A total of 298 patients enrolled in this study. This is a retrospective study comparing the outcomes of SSI open herniorrhaphy with prolene mesh. Results: Wound infection has occurred in 13 patients from Group-1 (%6.80) versus 3 patients on Group-2 (%2.80) respectively, which is statistically significantly lower than Group-1(p˂0.05). Conclusion: As our results showed, we suggest that octenidine dihydrochloride could be considered a powerful alternative to conventional disinfectant solutions, but further investigations with a single application of octenidine dihydrochloride are needed.

Keywords:

Herniorrhaphy, skin preparation, skin antisepsis,

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