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Complications of Transoral Thyroidectomy: Overview and Update

Tae K

Transoral thyroidectomy via the vestibular approach has become popular worldwide, with advantages including less surgical morbidity, excellent postoperative cosmesis, and superior functional voice outcomes. Several studies have reported that the...
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Implant-Associated Infection of Long-Segment Spinal Instrumentation: A Retrospective Analysis of 46 Consecutive Patients

Oikonomidis S, Altenrath L, Westermann L, Bredow J, Eysel P, Scheyerer MJ

Study Design: This single-center retrospective study analyzed patients with an implant-associated infection of spinal instrumentation (four or more segments) treated between 2010 and 2018. Purpose: This study aimed to investigate the...
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A Review of Bowel Preparation Before Colorectal Surgery

Ju YU, Min BW

Infectious complications are the biggest problem during bowel surgery, and one of the approaches to minimize them is the bowel cleaning method. It was expected that bowel cleaning could facilitate...
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Routine Intraoperative Bacterial Culture May Be Needed in Complicated Appendicitis

Son JT, Lee GC, Kim HO, Kim T, Lee D, Lee SR, Jung KU, Kim H, Chun HK

Purpose: Choosing the appropriate antibiotic is important for treatment of complicated appendicitis. However, increasing multidrug resistant bacteria have been a serious problem for successful treatment. This study was designed to...
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Effect of laparoscopic surgery on the risk for surgical site infections in colorectal resection: results from the Health Insurance Review & Assessment Service Database

An SH, Youn MK, Kim IY

Purpose: To compare the hospital length of stay (LOS), duration of antibiotic use, medical costs, and incidence of surgical site infection (SSI) between laparoscopic colorectal surgery (Lap-CRS) and open CRS...
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Role of Mechanical Bowel Preparation for Elective Colorectal Surgery

Kim IY

The presence of bowel contents during colorectal surgery has been related to surgical site infections (SSI), anastomotic leakage (AL) and postoperative complications theologically. Mechanical bowel preparation (MBP) for elective colorectal...
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The Korean Surgical Site Infection Surveillance System Report, 2018

Rho KH, Jeong HR, Kim SH, Choi HJ, Jung SJ, Son HJ, Han SH, Choi JY, Kim SW, Kim HB, Kim YK

Background: The incidence of surgical site infection (SSI) after 20 operative procedures was accessed via a web-based surveillance of the Korean National Healthcare-associated Infections Surveillance (KONIS) system. Methods: A total of...
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Use of Intraoperative Tranexamic Acid and Wound Complications in Spine Surgery: A Retrospective Cohort Study

Kramer M, Drexler M, Herman A, Kalimian T, Klassov Y, Nasser LA

Study Design: A retrospective cohort study. Purpose: This study aims to examine the effect of tranexamic acid (TXA) on postoperative wound healing in spine surgery. Overview of Literature: TXA (Cyklokapron, Hexakapron) is...
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Classification and Management Algorithm for Postoperative Wound Complications Following Transforaminal Lumbar Interbody Fusion

Kanna RM, Renjith KR, Shetty AP, Rajasekaran S

Study Design: Retrospective study. Purpose: Postoperative wound complications occurring after transforaminal lumbar interbody fusion (TLIF) are unique, as they can involve different tissue zones (subcutaneous, subfascial, osseous, peri-implant, and disc). Overview...
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Methicillin-resistant Staphylococcus aureus screening is important for surgeons

Hyun IK, Park PJ, Park D, Choi SB, Han HJ, Song TJ, Jung CW, Kim WB

BACKGROUNDS/AIMS: Perioperative surgical site infection (SSI) remains a morbid complication even in successful surgical procedures. We encountered an unusual experience of a methicillin-resistant Staphylococcus aureus (MRSA)-related SSI outbreak in our...
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Appropriate Prophylactic Antibiotic Use in Clean Wound Surgery Under Local Anesthesia

Cha HG, Kwon JG, Han HH, Eom JS, Kim EK

BACKGROUND: Although guidelines to prevent surgical site infections (SSIs) were published more than a decade ago, prophylactic antibiotics are still used subjectively in clinical practice. In this study, we evaluated...
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Perspective of Nationwide Surveillance System for Surgical Site Infections

Kim YK

As a result of the Study on the Efficacy of Nosocomial Infection Control (SENIC) project, many countries have established nationwide surveillance systems for nosocomial infections, including surgical site infections (SSIs)....
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Feasibility of No Prophylactic Antibiotics Use in Patients Undergoing Total Laparoscopic Distal Gastrectomy for Gastric Carcinoma: a Propensity Score-Matched Case-Control Study

Na Y, Kang JH, Jung MR, Ryu SY, Jeong O

PURPOSE: Laparoscopic surgery is associated with lower surgical site infection (SSI) rates due to minimal skin incision and non-exposure of visceral organs. Most previous studies have analyzed the efficacy of...
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Importance of Hemoglobin A1c Levels for the Detection of Post-Surgical Infection Following Single-Level Lumbar Posterior Fusion in Patients with Diabetes

Hwang JU, Son DW, Kang KT, Lee SH, Lee JS, Song GS, Lee SW, Sung SK

OBJECTIVE: Several studies have reported that patients with diabetes mellitus (DM) are vulnerable to infection. However, the mechanism underlying this remains unclear. We hypothesized that preoperative blood glucose levels in...
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Prospective Multicenter Surveillance Study of Surgical Site Infection after Intracranial Procedures in Korea : A Preliminary Study

Jeong TS, Yee GT

OBJECTIVE: This study aimed to investigate the rates, types, and risk factors of surgical site infection (SSI) following intracranial neurosurgical procedures evaluated by a Korean SSI surveillance system. METHODS: This was...
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Prospective Multicenter Surveillance Study of Surgical Site Infection after Spinal Surgery in Korea : A Preliminary Study

Jeong TS, Yee GT

OBJECTIVE: This study aimed to investigate the rates, types, and risk factors of surgical site infection (SSI) following spinal surgery using data from a Korean SSI surveillance system that included...
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Surgical Site Infection Following Fixation of Acetabular Fractures

Iqbal F, Younus S, Asmatullah , Zia OB, Khan N

PURPOSE: Acetabular fractures are mainly caused by high energy trauma. Surgical fixation of these fractures requires extensive surgical exposure which increases the length of operation and blood loss as well....
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Surgical site infection after colorectal surgery according to the main anesthetic agent: a retrospective comparison between volatile anesthetics and propofol

Koo BW, Sim JB, Shin HJ, Kim DW, Kang SB, Do SH, Na HS

BACKGROUND: Anesthetic agents used for general anesthesia are emerging possible influential factors for surgical site infection (SSI). In this retrospective study, we evaluated the incidence of SSI after colorectal surgery...
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Lymphopenia and Elevated Blood C-Reactive Protein Levels at Four Days Postoperatively Are Useful Markers for Early Detection of Surgical Site Infection Following Posterior Lumbar Instrumentation Surgery

Iwata E, Shigematsu H, Koizumi M, Nakajima H, Okuda A, Morimoto Y, Masuda K, Tanaka Y

STUDY DESIGN: Case-control study. PURPOSE: To identify the characteristics of candidate indexes for early detection of surgical site infection (SSI). OVERVIEW OF LITERATURE: SSI is a serious complication of spinal instrumentation surgery....
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Analysis of Malpractice Claims Associated with Surgical Site Infection in the Field of Plastic Surgery

Park BY, Kwon JW, Kang SR, Hong SE

Postoperative infections are rare after plastic surgery; however, when present, they can affect the aesthetic outcome. Currently, many malpractice lawsuits are associated with surgical site infection. The present study aimed...
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