Ann Coloproctol.
2019 Feb;35(1):9-14. 10.3393/ac.2018.01.16.
Effect of Hyperoxygenation During Surgery on Surgical Site Infection in Colorectal Surgery
- Affiliations
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- 1Department of Colorectal Surgery, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
- 2Department of General Surgery, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran. Farzad_Mokhtari_S@yahoo.com
- 3Department of Anesthesiology, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
- KMID: 2446788
- DOI: http://doi.org/10.3393/ac.2018.01.16
Abstract
- PURPOSE
Despite the use of different surgical methods, surgical site infection is still an important cause of mortality and morbidity in patients and imposes a considerable cost on the healthcare system. Administration of supplemental oxygen during surgery has been reported to reduce surgical site infection (SSI); however, that result is still controversial. This study was performed to evaluate the effect of hyperoxygenation during colorectal surgery on the incidence of wound infection.
METHODS
This study was a prospective double-blind case-control study. The main aim of the study was to evaluate the effect of hyperoxygenation during colorectal surgery on the incidence of SSI. Also, secondary outcomes, such as atelectasis, pneumonia, respiratory failure, length of hospital stay, and required hospitalization in the intensive care unit were evaluated.
RESULTS
SSI was recorded in 2 patients (2 of 40, 5%) in the hyperoxygenation group (FiO2 80%) and 6 patients (6 of 40, 15%) in the control group (FiO2 30%) (P < 0.05). Time of hospitalization was 6 ± 6.4 days in the hyperoxygenation group and 9.2 ± 2.4 days in the control group (P < 0.05).
CONCLUSION
This study showed a positive effect of hyperoxygenation in reducing SSI in colorectal surgery, especially surgery in an emergency setting. When the low risk, low cost, and effectiveness of this method in patients undergoing a laparotomy are considered, it is recommended for all patients undergoing colorectal surgery.
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