Author(s)

Yasuo Sumi, Kimihiro Yamashita, Kiyonori Kanemitsu, Shingo Kanaji, Masashi Yamamoto, Tatsuya Imanishi, Tetsu Nakamura, Satoshi Suzuki, Kenichi Tanaka, Yoshihiro Kakeji

Division of Gastrointestinal Surgery, department of SURGERY, Kobe University Graduate School of Medicine, Kobe, Japan.

Objective: To determine if a subcutaneous closed suction drain decreases the incidence of wound complications in patients undergoing emergency surgery for colorectal perforation. Materials and Methods: Data on 47 patients who underwent emergency operations for colorectal perforation were examined retrospectively. The clinical features of these cases with or without the use of the J-VAC^TM Drainage System were examined, and statistical analysis was performed. Results: In these high-risk cases, the overall incidence of incisional surgical site infection (SSI) was 36.2%. The incidence of incisional SSI in these cases with and without the J-VAC^TM Drainage System was 16.7% and 56.5%, respectively. Conclusion: Our results suggest that a subcutaneous closed suction drain is effective for preventing incisional SSI in patients who have undergone emergency operations for colorectal perforation.

Surgical Wound Infection; Intestinal Perforation; Closed Suction Drainage; Emergency Operation

Sumi, Y. , Yamashita, K. , Kanemitsu, K. , Kanaji, S. , Yamamoto, M. , Imanishi, T. , Nakamura, T. , Suzuki, S. , Tanaka, K. and Kakeji, Y. (2014) Effects of Subcutaneous Closed Suction Drain for the Prevention of Incisional SSI in Patients with Colorectal Perforation. Surgical Science, 5, 122-127. doi: 10.4236/ss.2014.53022.