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CLINICAL AND PARACLINICAL CHARACTERISTICS OF PERINEAL WOUND INFECTION AFTER ABDOMINOPERINEAL RESECTION FOR RECTAL CANCER AT VIET DUC UNIVERSITY HOSPITAL
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Abstract
Objectives: describe the clinical and paraclinical characteristics of patients with surgical wound infections after abdominoperineal resection for rectal cancer. Object and methods: a cross-sectional descriptive study on 38 patients with perineal wound infections out of a total of 70 rectal cancer patients following abdominoperineal resection at Viet Duc University Hospital from January 1, 2015, to December 31, 2022. Results: The perineal wound infection rate is 54.3%. 97.4% exhibited superficial incisional wound infection, while 2.6% showed deep incisional wound infection. The mean age was 60.1 ± 13.9 (38 - 87). 18.4% malnutrition status based on BMI. The percentage of patients with hypertension is 26.3%, whereas those with diabetes make up 15.8%. Preoperative chemotherapy and radiation have a rate of 23.7%. Elevated neutrophil leukocyte index makes up 71.1%, while reduced albumin accounts for 86.8%. Of those with perineal wound infection, 68.4% had a fever; 55.3% had serous exudation or purulent secretion at the perineal wound, and 44.7% experienced swelling, redness, and pain. Conclusion: Perineal wound infection is a frequent complication following abdominoperineal rectal amputation for rectal cancer. It often occurs in patients aged over 60, typically manifesting as exhibited superficial incisional wound infection. Diagnosis relies on identifying symptoms such as experienced swelling, pain, drainage, and pus in the surgical wound
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Keywords
: rectal cancer, abdominoperineal resection, perineal wound infection.
References
2. Nakamura, T., Sato, T., Hayakawa, K., et al, Risk factors for perineal wound infection after abdominoperineal resection of advanced lower rectal cancer. Ann Med Surg (Lond), 2017. 15: p. 14-18.
3. Papaconstantinou, H. T., K. M. Bullard, D. A. Rothenberger, and R. D. Madoff, Salvage abdominoperineal resection after failed Nigro protocol: modest success, major morbidity. Colorectal Dis, 2006. 8(2): p. 124-9.
4. Huang, W., Z. Q. Wei, Y. H. Qiu, G. Tang, and H. Sun, Effects of wound infection on prognosis after laparoscopic abdominoperineal resection of rectal cancer. Front Oncol, 2022. 12: p. 1036241.
5. El-Gazzaz, G., R. P. Kiran, and I. Lavery, Wound complications in rectal cancer patients undergoing primary closure of the perineal wound after abdominoperineal resection. Dis Colon Rectum, 2009. 52(12): p. 1962-6.
6. Sutton, E., Miyagaki, H., Bellini, G., et al, Risk factors for superficial surgical site infection after elective rectal cancer resection: a multivariate analysis of 8880 patients from the American College of Surgeons National Surgical Quality Improvement Program database. J Surg Res, 2017. 207: p. 205-214.
7. Nguyễn Hoài Bắc, Cắt toàn bộ mạc treo trực tràng bằng phẫu thuật nội soi trong điều trị ung thư trực tràng thấp. Chuyên đề phẫu thuật nội soi can thiệp, Tạp chí Y học Việt Nam, 2006. 2(1): p. 31-7.
8. Phạm Văn Tân, Nghiên cứu nhiễm khuẩn vết mổ các phẫu thuật tiêu hóa tại Khoa Ngoại Bệnh viện Bạch Mai. Luận văn Tiến sĩ Y học, 2016: p. 1-162.
9. Bộ Y tế, Hướng dẫn phòng ngừa nhiễm khuẩn vết mổ, Ban hành kèm theo Quyết định số: 3671/QĐ/BYT ngày 27 tháng 9 năm 2012 của Bộ Y tế. Bộ Y tế, Hà Nội, 2012.
10. Lê Phương Thảo, Thực trạng và kết quả chăm sóc nhiễm khuẩn vết mổ tại Khoa Phẫu thuật tiêu hóa Bệnh viện Hữu nghị Việt Đức. Luận văn Thạc sĩ, Trường Đại học Y Hà Nội, 2019.