Benefit of negative pressure drain within surgical wound after cytoreductive surgery for ovarian cancer

Se Ik Kim, Myong Cheol Lim, Hyo Sook Bae, Se Ra Shin, Sang Soo Seo, Sokbom Kang, Sang Yoon Park

Research output: Contribution to journalArticleResearchpeer-review

2 Citations (Scopus)

Abstract

Objective: The objective of this study was to investigate the efficacy of subcutaneous negative-pressure wound drains on wound healing after cytoreductive surgery for ovarian cancer. Methods: A retrospective study was performed on patients who underwent cytoreductive surgery for epithelial ovarian cancer, between 2012 and 2013. The patients were divided into 2 groups, according to using (n = 163) and not using (n = 37) of subcutaneous wound drains, and wound outcomes were analyzed. Results: Patients' characteristics were not statistically different, except for the prolonged operative time in patients with wound drains (median, 395 vs 240 minutes; P = 0.001). A lower rate of wound infection (12.9% vs 27.0%; P = 0.032) was observed in the drain group. In the multivariate analysis, placement of subcutaneous wound drain was an independent prognostic factor for reducing wound complications: Disruption (odds ratio [OR], 0.367; 95% confidence interval [CI], 0.145Y0.929; P = 0.034) and wound infection (OR, 0.198; 95% CI, 0.068Y0.582; P = 0.003). Bowel surgery at the time of cytoreductive surgery and prolonged operative time (≥360 minutes) were also associated with higher rates of disruption (OR, 2.845; 95% CI, 1.111Y7.289; P = 0.029) and wound infection (OR, 4.212; 95% CI, 1.273Y13.935; P = 0.019), respectively. Conclusions: Installation of subcutaneous negative-pressure wound drain is an effective method to achieve clearer wound healing and less wound complications after cytoreductive surgery for ovarian cancer.

Original languageEnglish
Pages (from-to)145-151
Number of pages7
JournalInternational Journal of Gynecological Cancer
Volume25
Issue number1
DOIs
StatePublished - 1 Jan 2015

Fingerprint

Ovarian Neoplasms
Pressure
Wounds and Injuries
Wound Infection
Odds Ratio
Confidence Intervals
Operative Time
Wound Healing
Surgical Wound
Multivariate Analysis
Retrospective Studies

Keywords

  • Ovarian cancer
  • Surgical site infection
  • Wound complications
  • Wound drain

Cite this

Kim, Se Ik ; Lim, Myong Cheol ; Bae, Hyo Sook ; Shin, Se Ra ; Seo, Sang Soo ; Kang, Sokbom ; Park, Sang Yoon. / Benefit of negative pressure drain within surgical wound after cytoreductive surgery for ovarian cancer. In: International Journal of Gynecological Cancer. 2015 ; Vol. 25, No. 1. pp. 145-151.
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title = "Benefit of negative pressure drain within surgical wound after cytoreductive surgery for ovarian cancer",
abstract = "Objective: The objective of this study was to investigate the efficacy of subcutaneous negative-pressure wound drains on wound healing after cytoreductive surgery for ovarian cancer. Methods: A retrospective study was performed on patients who underwent cytoreductive surgery for epithelial ovarian cancer, between 2012 and 2013. The patients were divided into 2 groups, according to using (n = 163) and not using (n = 37) of subcutaneous wound drains, and wound outcomes were analyzed. Results: Patients' characteristics were not statistically different, except for the prolonged operative time in patients with wound drains (median, 395 vs 240 minutes; P = 0.001). A lower rate of wound infection (12.9{\%} vs 27.0{\%}; P = 0.032) was observed in the drain group. In the multivariate analysis, placement of subcutaneous wound drain was an independent prognostic factor for reducing wound complications: Disruption (odds ratio [OR], 0.367; 95{\%} confidence interval [CI], 0.145Y0.929; P = 0.034) and wound infection (OR, 0.198; 95{\%} CI, 0.068Y0.582; P = 0.003). Bowel surgery at the time of cytoreductive surgery and prolonged operative time (≥360 minutes) were also associated with higher rates of disruption (OR, 2.845; 95{\%} CI, 1.111Y7.289; P = 0.029) and wound infection (OR, 4.212; 95{\%} CI, 1.273Y13.935; P = 0.019), respectively. Conclusions: Installation of subcutaneous negative-pressure wound drain is an effective method to achieve clearer wound healing and less wound complications after cytoreductive surgery for ovarian cancer.",
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Benefit of negative pressure drain within surgical wound after cytoreductive surgery for ovarian cancer. / Kim, Se Ik; Lim, Myong Cheol; Bae, Hyo Sook; Shin, Se Ra; Seo, Sang Soo; Kang, Sokbom; Park, Sang Yoon.

In: International Journal of Gynecological Cancer, Vol. 25, No. 1, 01.01.2015, p. 145-151.

Research output: Contribution to journalArticleResearchpeer-review

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T1 - Benefit of negative pressure drain within surgical wound after cytoreductive surgery for ovarian cancer

AU - Kim, Se Ik

AU - Lim, Myong Cheol

AU - Bae, Hyo Sook

AU - Shin, Se Ra

AU - Seo, Sang Soo

AU - Kang, Sokbom

AU - Park, Sang Yoon

PY - 2015/1/1

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N2 - Objective: The objective of this study was to investigate the efficacy of subcutaneous negative-pressure wound drains on wound healing after cytoreductive surgery for ovarian cancer. Methods: A retrospective study was performed on patients who underwent cytoreductive surgery for epithelial ovarian cancer, between 2012 and 2013. The patients were divided into 2 groups, according to using (n = 163) and not using (n = 37) of subcutaneous wound drains, and wound outcomes were analyzed. Results: Patients' characteristics were not statistically different, except for the prolonged operative time in patients with wound drains (median, 395 vs 240 minutes; P = 0.001). A lower rate of wound infection (12.9% vs 27.0%; P = 0.032) was observed in the drain group. In the multivariate analysis, placement of subcutaneous wound drain was an independent prognostic factor for reducing wound complications: Disruption (odds ratio [OR], 0.367; 95% confidence interval [CI], 0.145Y0.929; P = 0.034) and wound infection (OR, 0.198; 95% CI, 0.068Y0.582; P = 0.003). Bowel surgery at the time of cytoreductive surgery and prolonged operative time (≥360 minutes) were also associated with higher rates of disruption (OR, 2.845; 95% CI, 1.111Y7.289; P = 0.029) and wound infection (OR, 4.212; 95% CI, 1.273Y13.935; P = 0.019), respectively. Conclusions: Installation of subcutaneous negative-pressure wound drain is an effective method to achieve clearer wound healing and less wound complications after cytoreductive surgery for ovarian cancer.

AB - Objective: The objective of this study was to investigate the efficacy of subcutaneous negative-pressure wound drains on wound healing after cytoreductive surgery for ovarian cancer. Methods: A retrospective study was performed on patients who underwent cytoreductive surgery for epithelial ovarian cancer, between 2012 and 2013. The patients were divided into 2 groups, according to using (n = 163) and not using (n = 37) of subcutaneous wound drains, and wound outcomes were analyzed. Results: Patients' characteristics were not statistically different, except for the prolonged operative time in patients with wound drains (median, 395 vs 240 minutes; P = 0.001). A lower rate of wound infection (12.9% vs 27.0%; P = 0.032) was observed in the drain group. In the multivariate analysis, placement of subcutaneous wound drain was an independent prognostic factor for reducing wound complications: Disruption (odds ratio [OR], 0.367; 95% confidence interval [CI], 0.145Y0.929; P = 0.034) and wound infection (OR, 0.198; 95% CI, 0.068Y0.582; P = 0.003). Bowel surgery at the time of cytoreductive surgery and prolonged operative time (≥360 minutes) were also associated with higher rates of disruption (OR, 2.845; 95% CI, 1.111Y7.289; P = 0.029) and wound infection (OR, 4.212; 95% CI, 1.273Y13.935; P = 0.019), respectively. Conclusions: Installation of subcutaneous negative-pressure wound drain is an effective method to achieve clearer wound healing and less wound complications after cytoreductive surgery for ovarian cancer.

KW - Ovarian cancer

KW - Surgical site infection

KW - Wound complications

KW - Wound drain

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U2 - 10.1097/IGC.0000000000000315

DO - 10.1097/IGC.0000000000000315

M3 - Article

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JO - International Journal of Gynecological Cancer

JF - International Journal of Gynecological Cancer

SN - 1048-891X

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