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Abdominal skin closure using subcuticular sutures prevents incisional surgical site infection in hepatopancreatobiliary surgery

Surgery May 28, 2018

Okubo S, et al. - Researchers aimed at assessing if subcuticular sutures could reduce incisional surgical site infection in patients undergoing hepatopancreatobiliary surgery. They studied a total of 436 consecutive patients who underwent laparotomy and surgical resection for hepatopancreatobiliary tumors (abdominal skin closure was performed by subcuticular sutures in 245 patients (57.4%) and by stapling in 182 patients (42.6%)) from May 2013 to December 2015. The incidence of incisional surgical site infection was 5/245 (2.0%) in the subcuticular suture group and 21/182 (11.5%) in the stapling group. Findings thereby favor using subcuticular sutures over stapling for the prevention of incisional surgical site infection in hepatopancreatobiliary surgery.
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