Detail
Článek
Článek online
FT
Medvik - BMČ
  • Je něco špatně v tomto záznamu ?

Individualized perioperative management in transoral spine surgery: a single-center cohort study evaluating surgical wound complications and wound infections

V. Spatenkova, D. Sila, M. Halacova, J. Hradil, Z. Krejzar, E. Kuriscak

. 2022 ; 22 (1) : 123. [pub] 20220427

Jazyk angličtina Země Velká Británie

Typ dokumentu časopisecké články, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc22018703

BACKGROUND: Transoral spine surgery is specific due to both its surgical approach and the spectrum of diseases it targets. Patients with high age and elevated clinical frailty scores are often involved, and there are reports of increased risks of surgical site infection (SSI) due to extended exposures requiring maxilotomy or mandibulotomy. Our case series describes surgical wound complications under the meticulous application of individualized perioperative multimodal management. METHODS: Our primary outcome was the occurrence of SSI and the secondary outcome was the occurrence of other noninfectious wound complications evaluated in 22 adult patients who consecutively underwent the transoral spine surgery from 2001 to 2018 (trauma - C2, cervical nonunion: 6 patients, 27%; tumor: 4 patients, 18%; osteomyelitis: 6 patients, 27%; other non-traumatic cases: 6 patients, 27%). Structuralized data comprising parameters related to nosocomial infections after spine surgery were continuously processed and put into specialized database of preventive multimodal nosocomial infection control protocol that was used as a main source of analyzed parameters. The mean age of studied cohort was 54.9 [Formula: see text] 15.5 years, with 68% males, mean body mass index (BMI) 24.9 [Formula: see text] 5.22, and the mean clinical frailty score was 2.59 [Formula: see text] 1.07. There were 7 patients (32%) who only had the transoral approach and 15 patients (68%) having this approach followed by additional posterior approach. We observed SSI from all wound complications for up to one year after surgery. RESULTS: There were 4 (18%) superficial wound complications from transoral approach, but none of them were infected. We had 2 patients (13%) with deep wound infections after subsequent posterior approach, but only one (4.5%) was classified as SSI. CONCLUSIONS: We describe the wound complications and the incidence of SSI in a series of 22 patients after the transoral surgery. Considering the average values of the clinical frailty score reaching 2.59, American Society of Anesthesiologists score of 2.73, and the BMI of 26.87, the transoral spine surgery did not seem to be a considerable risk for SSI in the analyzed cohort, provided preventive perioperative multimodal management is properly individualized and followed.

Citace poskytuje Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc22018703
003      
CZ-PrNML
005      
20220804135034.0
007      
ta
008      
220720s2022 xxk f 000 0|eng||
009      
AR
024    7_
$a 10.1186/s12871-022-01673-x $2 doi
035    __
$a (PubMed)35477359
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a xxk
100    1_
$a Spatenkova, Vera $u Neurocenter, Neurointensive Care Unit, Regional Hospital, Husova 357/10, 46063, Liberec, Czech Republic. vera.spatenkova@nemlib.cz $u First Medical Faculty, Institute of Physiology, Charles University, Prague, Czech Republic. vera.spatenkova@nemlib.cz $u Department of Anaesthesia and Intensive Care Medicine Third Medical Faculty, Charles University, Prague, Czech Republic. vera.spatenkova@nemlib.cz $u Faculty of Health Studies, Technical University of Liberec, Liberec, Czech Republic. vera.spatenkova@nemlib.cz
245    10
$a Individualized perioperative management in transoral spine surgery: a single-center cohort study evaluating surgical wound complications and wound infections / $c V. Spatenkova, D. Sila, M. Halacova, J. Hradil, Z. Krejzar, E. Kuriscak
520    9_
$a BACKGROUND: Transoral spine surgery is specific due to both its surgical approach and the spectrum of diseases it targets. Patients with high age and elevated clinical frailty scores are often involved, and there are reports of increased risks of surgical site infection (SSI) due to extended exposures requiring maxilotomy or mandibulotomy. Our case series describes surgical wound complications under the meticulous application of individualized perioperative multimodal management. METHODS: Our primary outcome was the occurrence of SSI and the secondary outcome was the occurrence of other noninfectious wound complications evaluated in 22 adult patients who consecutively underwent the transoral spine surgery from 2001 to 2018 (trauma - C2, cervical nonunion: 6 patients, 27%; tumor: 4 patients, 18%; osteomyelitis: 6 patients, 27%; other non-traumatic cases: 6 patients, 27%). Structuralized data comprising parameters related to nosocomial infections after spine surgery were continuously processed and put into specialized database of preventive multimodal nosocomial infection control protocol that was used as a main source of analyzed parameters. The mean age of studied cohort was 54.9 [Formula: see text] 15.5 years, with 68% males, mean body mass index (BMI) 24.9 [Formula: see text] 5.22, and the mean clinical frailty score was 2.59 [Formula: see text] 1.07. There were 7 patients (32%) who only had the transoral approach and 15 patients (68%) having this approach followed by additional posterior approach. We observed SSI from all wound complications for up to one year after surgery. RESULTS: There were 4 (18%) superficial wound complications from transoral approach, but none of them were infected. We had 2 patients (13%) with deep wound infections after subsequent posterior approach, but only one (4.5%) was classified as SSI. CONCLUSIONS: We describe the wound complications and the incidence of SSI in a series of 22 patients after the transoral surgery. Considering the average values of the clinical frailty score reaching 2.59, American Society of Anesthesiologists score of 2.73, and the BMI of 26.87, the transoral spine surgery did not seem to be a considerable risk for SSI in the analyzed cohort, provided preventive perioperative multimodal management is properly individualized and followed.
650    _2
$a mladiství $7 D000293
650    _2
$a dospělí $7 D000328
650    _2
$a kohortové studie $7 D015331
650    _2
$a ženské pohlaví $7 D005260
650    12
$a křehkost $7 D000073496
650    _2
$a lidé $7 D006801
650    _2
$a mužské pohlaví $7 D008297
650    _2
$a retrospektivní studie $7 D012189
650    12
$a chirurgická rána $7 D000072836
650    _2
$a infekce chirurgické rány $x epidemiologie $x etiologie $7 D013530
655    _2
$a časopisecké články $7 D016428
655    _2
$a práce podpořená grantem $7 D013485
700    1_
$a Sila, David $u Anaesthesia and Intensive Care Department, Regional Hospital Liberec, Liberec, Czech Republic
700    1_
$a Halacova, Milada $u Department of Clinical Pharmacology, Na Homolce Hospital, Prague, Czech Republic
700    1_
$a Hradil, Jan $u Neurocenter, Department of Neurosurgery, Regional Hospital Liberec, Liberec, Czech Republic
700    1_
$a Krejzar, Zdenek $u Anaesthesia and Intensive Care Department, Regional Hospital Liberec, Liberec, Czech Republic $u Department of Neurology First Medical Faculty, Charles University, Prague, Czech Republic
700    1_
$a Kuriscak, Eduard $u First Medical Faculty, Institute of Physiology, Charles University, Prague, Czech Republic
773    0_
$w MED00006769 $t BMC anesthesiology $x 1471-2253 $g Roč. 22, č. 1 (2022), s. 123
856    41
$u https://pubmed.ncbi.nlm.nih.gov/35477359 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y p $z 0
990    __
$a 20220720 $b ABA008
991    __
$a 20220804135028 $b ABA008
999    __
$a ok $b bmc $g 1822361 $s 1169946
BAS    __
$a 3
BAS    __
$a PreBMC
BMC    __
$a 2022 $b 22 $c 1 $d 123 $e 20220427 $i 1471-2253 $m BMC anesthesiology $n BMC Anesthesiol $x MED00006769
LZP    __
$a Pubmed-20220720

Najít záznam

Citační ukazatele

Pouze přihlášení uživatelé

Možnosti archivace