Evidence based antibiotic prophylaxis and subcutaneous closed suction drainage may reduce surgical site infections in contaminated cases

Closed suction surgical wound drainage after orthopaedic surgery.

BACKGROUND Closed suction drainage systems are frequently used to drain fluids, particularly blood, from surgical wounds. The aim of these systems is to reduce the occurrence of wound haematomas and infection. OBJECTIVES To evaluate the effectiveness of closed suction drainage systems for orthopaedic surgery. SEARCH STRATEGY We searched the Cochrane Bone, Joint and Muscle Trauma Group Speci...

editorial commentary: prophylaxis for surgical site infections

The role of Ayurveda management in preventing surgical site infections instead of surgical antibiotic prophylaxis

It is probably for the first time in the history of modern surgery that Benign Prostate Hyperplasia (BPH) surgery which belongs to 'clean contaminated' class and requires at least 3 doses of prophylactic antibiotic as per recommendations by American Urology Association, was done without the use of any as the patient had a history of severe intolerance to them. The case was an 83 year old male p...

Editorial Commentary: Prophylaxis for Surgical Site Infections

Despite many attempts to prevent surgical site infections (SSIs), these complications are not uncommon in most hospitals while the precise determination of the burden of these infections in our country has not been performed but crude data in hospitals shows a significant cost of managements. With an estimated 27 million surgical procedures annually, and near 2– 5% rate of SSIs, approximately 3...

Review of Subcutaneous Wound Drainage in Reducing Surgical Site Infections after Laparotomy

Purpose. Surgical site infections (SSIs) remain a significant problem after laparotomies. The aim of this review was to assess the evidence on the efficacy of subcutaneous wound drainage in reducing SSI. Methods. MEDLINE database was searched. Studies were identified and screened according to criteria to determine their eligibility for meta-analysis. Meta-analysis was performed using the Mantel...