Research Article
Influence of Enhanced Recovery Pathway on Surgical Site Infection after Colonic Surgery
| | All patients () (%) | SSI () (%) | No SSI () (%) | |
| | Procedure | | | | | | Left colectomy | 46 (12) | 7 (13) | 39 (11) | 0.519 | | Sigmoid resection | 140 (35) | 17 (32) | 123 (36) | | Right colectomy | 135 (34) | 21 (39) | 114 (33) | | Total colectomy | 28 (7) | 5 (9) | 23 (7) | | Hartmann reversal | 39 (10) | 4 (7) | 35 (10) | | Other | 9 (2) | 0 | 9 (3) | | Minimally invasive surgery | 270 (68) | 22 (41) | 248 (72) | <0.001 | | Emergency | 118 (30) | 27 (50) | 91 (27) | <0.001 | | Operating time > 3 hours | 186 (47) | 28 (52) | 158 (46) | 0.465 | | New stoma | | | | | | No | 340 (86) | 50 (92) | 290 (85) | 0.293 | | Ileostomy | 28 (7) | 2 (4) | 26 (7) | | Colostomy | 29 (7) | 2 (4) | 27 (8) | | Anastomotic technique | | | | | | Hand-sewn | 74 (18) | 10 (19) | 64 (19) | 0.73 | | Circular staplers | 177 (45) | 21 (39) | 156 (46) | | Linear staplers | 103 (26) | 18 (33) | 85 (25) | | Other/no anastomosis | 43 (11) | 5 (9) | 38 (8) | | Contamination class (assessed by surgeon) | | | | | | II | 351 (88) | 50 (92) | 301 (88) | 0.312 | | III-IV | 46 (12) | 4 (8) | 42 (12) | | Wound class (assessed by surveillance committee) | | | | | | II | 187 (47) | 19 (35) | 168 (49) | 0.015 | | III-IV | 210 (53) | 35 (65) | 175 (51) | | Antibiotic administration | | | | | | <1 hour before incision | 281 (71) | 34 (63) | 247 (72) | 0.174 | | NNIS score | | | | | | 0 | 74 (19) | 7 (13) | 67 (20) | 0.059 | | 1 | 145 (37) | 15 (28) | 130 (38) | | 2 | 138 (35) | 22 (41) | 116 (34) | | 3 | 40 (10) | 10 (19) | 30 (9) |
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SSI: surgical site infection; Contamination/wound class: II—clean contaminated, III—contaminated, IV—infectious; NNIS: National Nosocomial Infection Surveillance. Significant values are indicated in bold characters.
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