The Experts below are selected from a list of 2757 Experts worldwide ranked by ideXlab platform
Shuji Isaji - One of the best experts on this subject based on the ideXlab platform.
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is it possible to predict the development of an incisional surgical site infection and its severity after Biliary Tract Surgery for benign disease
Journal of Hepato-biliary-pancreatic Sciences, 2012Co-Authors: Takehiro Fujii, Hiroyuki Kato, Makoto Suzaki, Takashi Noguchi, Shuji IsajiAbstract:Wound infection; that is, incisional surgical site infection (ISSI), is a common complication after Biliary Tract Surgery. The aim of the present study was to identify the various risk factors for wound infection and to establish a formula to predict the development and severity of wound infections. We analyzed the clinical data on 207 consecutive patients who underwent Biliary Surgery for benign diseases at our hospital. We identified the factors with the greatest influence on wound infection after Biliary Tract Surgery, based on a statistical procedure. An original scoring system (ISSI predictive score) was proposed based on these risk factors. The incidence of postoperative wound infection was 9.7% (20/207). The patient’s performance status; bile culture; perioperative fasting period (days); and intraoperative bile spillage were the most influential risk factors for wound infection. The incidences of wound infection in patients with ISSI predictive scores of >2.7 points and those with scores of 0–2.7 points were 75.0% (12/16) and 4.2% (8/191), respectively. Our score also correlated significantly with the severity of wound infection (r = 0.488, P < 0.001) and the length of the postoperative hospital stay (R = 0.508, P < 0.001). Our original scoring system makes it possible to predict not only the development of a wound infection and its severity after Biliary Tract Surgery, but also the length of the postoperative hospital stay.
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is it possible to predict the development of an incisional surgical site infection and its severity after Biliary Tract Surgery for benign disease
Journal of Hepato-biliary-pancreatic Sciences, 2012Co-Authors: Takehiro Fujii, Hiroyuki Kato, Makoto Suzaki, Takashi Noguchi, Shuji IsajiAbstract:Background/purpose Wound infection; that is, incisional surgical site infection (ISSI), is a common complication after Biliary Tract Surgery. The aim of the present study was to identify the various risk factors for wound infection and to establish a formula to predict the development and severity of wound infections.
Chad G Ball - One of the best experts on this subject based on the ideXlab platform.
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wound protectors reduce surgical site infection a meta analysis of randomized controlled trials
Annals of Surgery, 2012Co-Authors: Janet P Edwards, Adelyn L Ho, Elijah Dixon, Chad G BallAbstract:Objective: A meta-analysis of randomized clinical trials (RCTs) was conducted to evaluate whether wound protectors reduce the risk of surgical site infection (SSI) after gastrointestinal and Biliary Tract Surgery. Background: The effectiveness of impervious wound edge protectors for reduction of SSI remains unclear. Methods: A systematic review was conducted in Medline, EMBASE, and the Cochrane Library to identify RCTs that evaluate the risk of SSI after gastrointestinal and Biliary surgeries with and without the use of an impervious wound protector. The pooled risk ratio was estimated with random-effect meta-analysis. Sensitivity analyses were performed to examine the impact of structural design of wound protector, publication year, study quality, inclusion of emergent surgeries, preoperative antibiotic administration, and bowel preparation on the pooled risk of SSI. Results: Of the 347 studies identified, 6 RCTs representing 1008 patients were included. The use of a wound protector was associated with a significant decrease in SSI (RR = 0.55, 95% CI 0.31‐0.98, P = 0.04). There was a nonsignificant trend toward greater protective effect in studies using a dual ring protector (RR = 0.31, 95% CI 0.14‐0.67, P = 0.003), rather than a single ring protector (RR = 0.83, 95% CI 0.38‐1.83, P = 0.64). Publication year (P =0.03)andblindingofoutcomeassessors(P =0.04)significantlymodified the effect of wound protectors on SSI. Conclusions: Our results suggest that wound protectors reduce rates of SSI after gastrointestinal and Biliary Surgery.
Takehiro Fujii - One of the best experts on this subject based on the ideXlab platform.
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is it possible to predict the development of an incisional surgical site infection and its severity after Biliary Tract Surgery for benign disease
Journal of Hepato-biliary-pancreatic Sciences, 2012Co-Authors: Takehiro Fujii, Hiroyuki Kato, Makoto Suzaki, Takashi Noguchi, Shuji IsajiAbstract:Wound infection; that is, incisional surgical site infection (ISSI), is a common complication after Biliary Tract Surgery. The aim of the present study was to identify the various risk factors for wound infection and to establish a formula to predict the development and severity of wound infections. We analyzed the clinical data on 207 consecutive patients who underwent Biliary Surgery for benign diseases at our hospital. We identified the factors with the greatest influence on wound infection after Biliary Tract Surgery, based on a statistical procedure. An original scoring system (ISSI predictive score) was proposed based on these risk factors. The incidence of postoperative wound infection was 9.7% (20/207). The patient’s performance status; bile culture; perioperative fasting period (days); and intraoperative bile spillage were the most influential risk factors for wound infection. The incidences of wound infection in patients with ISSI predictive scores of >2.7 points and those with scores of 0–2.7 points were 75.0% (12/16) and 4.2% (8/191), respectively. Our score also correlated significantly with the severity of wound infection (r = 0.488, P < 0.001) and the length of the postoperative hospital stay (R = 0.508, P < 0.001). Our original scoring system makes it possible to predict not only the development of a wound infection and its severity after Biliary Tract Surgery, but also the length of the postoperative hospital stay.
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is it possible to predict the development of an incisional surgical site infection and its severity after Biliary Tract Surgery for benign disease
Journal of Hepato-biliary-pancreatic Sciences, 2012Co-Authors: Takehiro Fujii, Hiroyuki Kato, Makoto Suzaki, Takashi Noguchi, Shuji IsajiAbstract:Background/purpose Wound infection; that is, incisional surgical site infection (ISSI), is a common complication after Biliary Tract Surgery. The aim of the present study was to identify the various risk factors for wound infection and to establish a formula to predict the development and severity of wound infections.
Hiroyuki Kato - One of the best experts on this subject based on the ideXlab platform.
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is it possible to predict the development of an incisional surgical site infection and its severity after Biliary Tract Surgery for benign disease
Journal of Hepato-biliary-pancreatic Sciences, 2012Co-Authors: Takehiro Fujii, Hiroyuki Kato, Makoto Suzaki, Takashi Noguchi, Shuji IsajiAbstract:Wound infection; that is, incisional surgical site infection (ISSI), is a common complication after Biliary Tract Surgery. The aim of the present study was to identify the various risk factors for wound infection and to establish a formula to predict the development and severity of wound infections. We analyzed the clinical data on 207 consecutive patients who underwent Biliary Surgery for benign diseases at our hospital. We identified the factors with the greatest influence on wound infection after Biliary Tract Surgery, based on a statistical procedure. An original scoring system (ISSI predictive score) was proposed based on these risk factors. The incidence of postoperative wound infection was 9.7% (20/207). The patient’s performance status; bile culture; perioperative fasting period (days); and intraoperative bile spillage were the most influential risk factors for wound infection. The incidences of wound infection in patients with ISSI predictive scores of >2.7 points and those with scores of 0–2.7 points were 75.0% (12/16) and 4.2% (8/191), respectively. Our score also correlated significantly with the severity of wound infection (r = 0.488, P < 0.001) and the length of the postoperative hospital stay (R = 0.508, P < 0.001). Our original scoring system makes it possible to predict not only the development of a wound infection and its severity after Biliary Tract Surgery, but also the length of the postoperative hospital stay.
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is it possible to predict the development of an incisional surgical site infection and its severity after Biliary Tract Surgery for benign disease
Journal of Hepato-biliary-pancreatic Sciences, 2012Co-Authors: Takehiro Fujii, Hiroyuki Kato, Makoto Suzaki, Takashi Noguchi, Shuji IsajiAbstract:Background/purpose Wound infection; that is, incisional surgical site infection (ISSI), is a common complication after Biliary Tract Surgery. The aim of the present study was to identify the various risk factors for wound infection and to establish a formula to predict the development and severity of wound infections.
Makoto Suzaki - One of the best experts on this subject based on the ideXlab platform.
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is it possible to predict the development of an incisional surgical site infection and its severity after Biliary Tract Surgery for benign disease
Journal of Hepato-biliary-pancreatic Sciences, 2012Co-Authors: Takehiro Fujii, Hiroyuki Kato, Makoto Suzaki, Takashi Noguchi, Shuji IsajiAbstract:Wound infection; that is, incisional surgical site infection (ISSI), is a common complication after Biliary Tract Surgery. The aim of the present study was to identify the various risk factors for wound infection and to establish a formula to predict the development and severity of wound infections. We analyzed the clinical data on 207 consecutive patients who underwent Biliary Surgery for benign diseases at our hospital. We identified the factors with the greatest influence on wound infection after Biliary Tract Surgery, based on a statistical procedure. An original scoring system (ISSI predictive score) was proposed based on these risk factors. The incidence of postoperative wound infection was 9.7% (20/207). The patient’s performance status; bile culture; perioperative fasting period (days); and intraoperative bile spillage were the most influential risk factors for wound infection. The incidences of wound infection in patients with ISSI predictive scores of >2.7 points and those with scores of 0–2.7 points were 75.0% (12/16) and 4.2% (8/191), respectively. Our score also correlated significantly with the severity of wound infection (r = 0.488, P < 0.001) and the length of the postoperative hospital stay (R = 0.508, P < 0.001). Our original scoring system makes it possible to predict not only the development of a wound infection and its severity after Biliary Tract Surgery, but also the length of the postoperative hospital stay.
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is it possible to predict the development of an incisional surgical site infection and its severity after Biliary Tract Surgery for benign disease
Journal of Hepato-biliary-pancreatic Sciences, 2012Co-Authors: Takehiro Fujii, Hiroyuki Kato, Makoto Suzaki, Takashi Noguchi, Shuji IsajiAbstract:Background/purpose Wound infection; that is, incisional surgical site infection (ISSI), is a common complication after Biliary Tract Surgery. The aim of the present study was to identify the various risk factors for wound infection and to establish a formula to predict the development and severity of wound infections.