Effect of simple vaccum sealing drainage in treating superficial surgical site infection after inguinal hernia repair

doi:10.3877/cma.j.issn.1674-392X.2023.06.018

Abstract

Abstract:

Objective

To analyze the effect of simple vaccum sealing drainage in the treatment of superficial surgical site infection after inguinal hernia repair.

Methods

A retrospective analysis of 32 patients with superficial surgical site infection after inguinal hernia repair admitted to Nanjing Hospital Affiliated to Nanjing Medical University (Nanjing First Hospital) from January 2016 to August 2022 was performed. Patients were divided into routine dressings group (14 cases) and simple vaccum sealing drainage group (18 cases) according to the different wound dressing methods. The routine dressings group was treated with conventional dressings after wound debridement, while the simple vaccum sealing drainage group was treated with simple vaccum sealing drainage after wound debridement. The wound healing time, frequency of dressings change, improvement of anxiety and depression, and discharge satisfaction were compared between the two groups.

Results

Both groups were cured and discharged from hospital. The complete wound healing time and frequency of dressings change of the patients in the simple vaccum sealing drainage group were significantly lower than those in the routine dressings group, and the discharge satisfaction was higher than that of the routine dressings group, the negative emotions of the patients in the simple vaccum sealing drainage group were significantly relieved, and the differences were statistically significant (P<0.05).

Conclusion

In the treatment of superficial surgical site infection after inguinal hernia repair, the simple vaccum sealing drainage can effectively accelerate wound healing and reduce the number of dressing changes, improve patients' negative emotions and satisfaction at discharge.

Key words: Hernia, inguinal, Surgical site infection, Superficial infection, Vaccum sealing drainage

Jingru Li, Jiangling Wang, Xiangyang Wu. Effect of simple vaccum sealing drainage in treating superficial surgical site infection after inguinal hernia repair[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(06): 745-749.

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Figures/Tables 5

References 25

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组别	例数	性别[例(%)]		年龄(岁,±s)	体重指数[kg/m²,M(P25,P75)]	血清白蛋白(g/L,±s)	前白蛋白(g/L,±s)	总白蛋白(g/L,±s)
组别	例数	男性	女性	年龄(岁,±s)	体重指数[kg/m²,M(P25,P75)]	血清白蛋白(g/L,±s)	前白蛋白(g/L,±s)	总白蛋白(g/L,±s)
普通换药组	14	12(85.7)	2(14.3)	60.71±20.18	25.16(23.18,27.17)	32.58±6.18	152.54± 6.18	35.27±5.84
简易负压组	18	14(77.8)	4(22.2)	59.22±19.29	25.44(22.31,27.04)	32.62±6.07	153.01±10.02	35.33±2.92
χ²/t/Z		0.326^*		0.025^*	-0.323^***	0.030^*	0.180^*	0.080^*
P		0.627		0.980	0.747	0.980	0.860	0.940
组别	例数	疝分型[例(%)]				疝类别[例(%)]			吸烟史[例(%)]
组别	例数	Ⅰ	Ⅱ	Ⅲ	Ⅳ	嵌顿疝	滑疝	复发疝	吸烟史[例(%)]
普通换药组	14	2(14.3)	3(31.3)	5(28.6)	4(35.7)	7(50.0)	6(42.9)	1(7.1)	5(35.7)
简易负压组	18	3(16.7)	5(22.7)	6(27.8)	4(33.3)	8(44.4)	8(44.4)	2(1.2)	7(38.9)
Fisher		7.459^**				0.189^**			0.034^**
P		0.098				0.910			0.854
组别	例数	合并症[例(%)]			病原菌分布[例(%)]
组别	例数	糖尿病	高血压	前列腺增生	金黄色葡萄球菌	铜绿假单胞菌	鲍曼不动杆菌	大肠埃希菌
普通换药组	14	4(28.6)	3(21.4)	8(57.1)	3(21.4)	2(14.3)	1(7.1)	1(7.1)
简易负压组	18	6(33.3)	5(27.8)	10(55.6)	4(22.2)	2(11.1)	1(5.6)	0
Fisher		0.083^**	0.169^**	0.008^**	1.460^**
P		0.773	0.681	0.928	1.000

组别	例数	性别[例(%)]		年龄(岁,±s)	体重指数[kg/m²,M(P25,P75)]	血清白蛋白(g/L,±s)	前白蛋白(g/L,±s)	总白蛋白(g/L,±s)
组别	例数	男性	女性	年龄(岁,±s)	体重指数[kg/m²,M(P25,P75)]	血清白蛋白(g/L,±s)	前白蛋白(g/L,±s)	总白蛋白(g/L,±s)
普通换药组	14	12(85.7)	2(14.3)	60.71±20.18	25.16(23.18,27.17)	32.58±6.18	152.54± 6.18	35.27±5.84
简易负压组	18	14(77.8)	4(22.2)	59.22±19.29	25.44(22.31,27.04)	32.62±6.07	153.01±10.02	35.33±2.92
χ²/t/Z		0.326^*		0.025^*	-0.323^***	0.030^*	0.180^*	0.080^*
P		0.627		0.980	0.747	0.980	0.860	0.940
组别	例数	疝分型[例(%)]				疝类别[例(%)]			吸烟史[例(%)]
组别	例数	Ⅰ	Ⅱ	Ⅲ	Ⅳ	嵌顿疝	滑疝	复发疝	吸烟史[例(%)]
普通换药组	14	2(14.3)	3(31.3)	5(28.6)	4(35.7)	7(50.0)	6(42.9)	1(7.1)	5(35.7)
简易负压组	18	3(16.7)	5(22.7)	6(27.8)	4(33.3)	8(44.4)	8(44.4)	2(1.2)	7(38.9)
Fisher		7.459^**				0.189^**			0.034^**
P		0.098				0.910			0.854
组别	例数	合并症[例(%)]			病原菌分布[例(%)]
组别	例数	糖尿病	高血压	前列腺增生	金黄色葡萄球菌	铜绿假单胞菌	鲍曼不动杆菌	大肠埃希菌
普通换药组	14	4(28.6)	3(21.4)	8(57.1)	3(21.4)	2(14.3)	1(7.1)	1(7.1)
简易负压组	18	6(33.3)	5(27.8)	10(55.6)	4(22.2)	2(11.1)	1(5.6)	0
Fisher		0.083^**	0.169^**	0.008^**	1.460^**
P		0.773	0.681	0.928	1.000

组别	例数	愈合时间(d,±s)	换药次数(次,±s)
普通换药组	14	10.35±2.89	12.57±4.71
简易负压组	18	6.78±1.31	4.07±0.91
t		4.649	6.884
P		<0.001	<0.001

组别	例数	愈合时间(d,±s)	换药次数(次,±s)
普通换药组	14	10.35±2.89	12.57±4.71
简易负压组	18	6.78±1.31	4.07±0.91
t		4.649	6.884
P		<0.001	<0.001

组别	例数	焦虑量表		抑郁量表
组别	例数	干预前	干预后	干预前	干预后
普通换药组	14	13.14±3.158	10.21±2.044^*	12.50±2.594	9.93±1.774^*
简易负压组	18	13.00±3.678	8.78±1.550^*	13.56±3.052	8.72±1.406^*
t		0.116	2.260	-1.035	2.148
P		0.909	0.031	0.309	0.040

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