ĐÁNH GIÁ KẾT QUẢ SỬ DỤNG NƯỚC MUỐI SINH LÝ RỬA VẾT MỔ TRONG PHẪU THUẬT UNG THƯ ĐẠI TRỰC TRÀNG

Abstract

Background: Surgical site infection (SSI) is the one of the most common postoperative complication. One method to reduce SSI is wound irrigation with the saline solution to remove cellular debris, residual fluids, and reduce bacterial load before closing the surgical site. Objective: To evaluate the clinical and paraclinical characteristics of colorectal cancer patients undergoing surgery at Department of Abdominal Surgery 1, K Hospital. Additionally, to assess the effectiveness of saline irrigation in reducing SSI in colorectal cancer surgeries and identify related risk factors. Methods: A controlled comparison study was conducted on 195 patients undergoing open colorectal cancer surgery. Patients were divided into two groups: Group A: Wound treated with povidone-iodine for disinfection after surgery; Group B: Wound irrigated with saline solution after fascial and muscular closure, before skin closure. Results: Saline irrigation reduced the SSI rate from 22.4% to 7.2%. Significant risk factors for SSI included a antecedent of diabetes, operation time exceeding 3 hours, reoperation within 30 days, and hospital stays longer than 14 days.