Evaluation of Factors Associated With Surgical Wound Infections in Lumbar Instrumentation Surgery

Authors : Mustafa Cemil KILINÇ, Baran Can ALPERGİN, Bekir TUNÇ

Pages : 85-90

Doi:10.55517/mrr.1293408

View : 30 | Download : 32

Publication Date : 2023-06-29

Article Type : Research Paper

Abstract :Aim: Many factors are related to wound healing after lumbar instrumentation surgery. These include cerebrospinal fluid fistula, duration of surgery, amount of bleeding, diabetes, obesity, being a smoker, low haemoglobin levels, steroid administration, and accompanying malignancy. This study aims to investigate the effect of surgery duration and the need for erythrocyte suspension transfusion on wound healing, regardless of the patient\`s risk factors. Methods: 490 patients who underwent lumbar instrumentation surgery at four levels or below by a single surgeon between 2020 and 2022 were included in the study. 362 of 492 patients were female, and 128 were male. The relationship between the average surgical duration, erythrocyte suspension requirement parameters, and surgical wound infection rates was investigated. Results: Surgical wound infection was observed in 14 patients insert ignore into journalissuearticles values(2.8%);. Of these 14 patients, 12 had a history of erythrocyte suspension transfusion. The average surgical duration for the 14 patients with surgical wound infection was 120 minutes, while 90 minutes for the group without surgical wound infection. There is a correlation between erythrocyte suspension transfusion and surgical wound infection, with a higher infection rate observed in patients with an erythrocyte transfusion history insert ignore into journalissuearticles values(p<0.001);. Additionally, there is a correlation between the development of surgical wound infection and prolonged surgical duration, as patients who experience an infection tend to have longer surgical durations insert ignore into journalissuearticles values(p=0.001);. Conclusion: Considered independently of patient-related risk factors, short surgical time and no need for erythrocyte suspension transfusion reduce wound infection.
Keywords : Cerrahi süre, eritrosit süspansiyonu, kesi yeri enfeksiyonu