Post operative surgical drains after pancreaticoduodenectomy: Single versus dual drainage

Can Prophylactic Drains After Pancreaticoduodenectomy Be A Risk Factor for Organ/Space Surgical Site Infection?

Introduction Although some authors have reported that retrograde infection by longterm placement of prophylactic drain may be the main cause of organ/space surgical site infection after pancreaticoduodenectomy. Materials and Methods The study included 93 patients who underwent pancreaticoduodenectomy. We assessed the risk factors for organ/space surgical site infection and examined the microorg...

Early Post Operative Enteral Versus Parenteral Feeding after Esophageal Cancer Surgery

Introduction: The incidence of malnutrition in hospitalized patients is reported to be high. In particular, patients with esophageal cancer are prone to malnutrition, due to preoperative digestive system dysfunctions and short-term non-oral feeding postoperatively. Selection of an appropriate method for feeding in the postoperative period is important in these patients.   Materials and Methods:...

Post-operative surgical wound infection

The occurrence of post-operative wound infection was studied respectively over an eight month period in the University Hospital, Kuala Lumpur. One hundred and seventy four (3.4%) surgical wounds out of 5129 operations became infected. The clean wound infection rate was 2.9%, rising to 5.4% and 12.2% for clean-contaminated and contaminated surgical wounds respectively. Of the wound infections, 8...

Association of Preoperative Biliary Drainage with Postoperative Morbidity after Pancreaticoduodenectomy

Background. The advantages or disadvantages of preoperative biliary drainage (PBD) prior to pancreaticoduodenectomy (PD) remain unclear. Methods. A prospectively maintained database was queried for 335 consecutive patients undergoing standard PD surgery between 2009 and 2013. Clinical data and postoperative complications of the 47 patients receiving PBD and 288 patients with early surgery were ...

Pre-Operative and Post-Operative Care of Surgical Patients