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. 2014 Dec;87(6):311-8.
doi: 10.4174/astr.2014.87.6.311. Epub 2014 Nov 28.

Effect of triclosan-coated sutures on surgical site infection after gastric cancer surgery via midline laparotomy

Kuk Hyun Jung  1 , Seung Jong Oh  2 , Kang Kook Choi  2 , Su Mi Kim  2 , Min Gew Choi  2 , Jun Ho Lee  2 , Jae Hyung Noh  2 , Tae Sung Sohn  2 , Jae Moon Bae  2 , Sung Kim  2
Affiliations

Effect of triclosan-coated sutures on surgical site infection after gastric cancer surgery via midline laparotomy

Kuk Hyun Jung et al. Ann Surg Treat Res. 2014 Dec.

Abstract

Purpose: Surgical site infection (SSI) after open abdominal surgery is still a frequently reported nosocomial infection. To reduce the incidence of SSI, triclosan-coated sutures with antiseptic activity (Vicryl Plus) were developed. The aim of this study was to analyze the effect of Vicryl Plus on SSI after gastric cancer surgery via midline laparotomy.

Methods: A total of 916 patients who underwent gastric cancer surgery at Samsung Medical Center between December 2009 and September 2011 were prospectively collected. We examined the occurrence of SSI (primary endpoint), assessments of wound healing (secondary endpoint). They were evaluated postoperatively on days 3, 7, and 30.

Results: Of the 916 patients, 122 were excluded postoperatively by screening (out of the study protocol, adverse events, etc.). The remaining 794 patients were enrolled and monitored postoperatively. The cumulative SSI incidence was 11 cases (1.39%; 95% confidence interval [CI], 0.77-2.50) on day 30. Seromas were most frequently detected in wound healing assessments, with a cumulative incidence of 147 cases (18.51%; 95% CI, 15.98-21.39) on day 30.

Conclusion: The use of triclosan-coated sutures (Vicryl Plus) for abdominal wall closure can reduce the number of SSIs in gastric cancer surgery.

Keywords: Laparotomy; Stomach neoplasms; Surgical wound infection; Sutures.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
Flow chart of patients through the study.
See this image and copyright information in PMC

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