Does a history of wound infection predict postoperative surgical site infection after ventral hernia repair?

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• 作者：Jeffrey A. Blatnik ; M.D. ; David M. Krpata ; M.D. ; Yuri W. Novitsky ; M.D. ; Michael J. Rosen ; M.D. ; ^{Michael.Rosen@uhhospitals.org}
• 关键词：Ventral incisional hernia ; Surgical site infection ; Wound infection
• 刊名：The American Journal of Surgery
• 出版年：2012
• 期刊代码：9_00029610
• 类别：med
• 出版时间：March, 2012
• 卷：203
• 期：3
• 页码：370-374
• 文件大小：161 K

摘要

Background

Stratification of risks of postoperative wound/mesh infection after hernia repair remains a challenge. We aimed to determine the role of a previous wound infection on surgical site infection in patients undergoing open ventral hernia repair.

Methods

All patients undergoing open ventral hernia repair in a clean setting were evaluated from a prospectively maintained database. The primary end point was the development of a postoperative surgical site infection.

Results

A total of 146 patients were included in the analysis, and 22 patients had a history of previous wound infection. The rate of surgical site infection did not differ between those with or without a history of wound infection (14%vs 9%; P = .444). Patients with a history of chronic obstructive pulmonary disease or smoking were at an increased risk of developing a surgical site infection.

Conclusions

For patients undergoing open ventral hernia repair, a history of previous wound infection is not predictive of postoperative surgical site infection.