Contemporary Review to Reduce Groin Surgical Site Infections in Vascular Surgery.

Haroon Rasheed, Kaled Diab, Tarundeep Singh, Yusuf Chauhan, Paul Haddad, M Mujeeb Zubair, Travis Vowels, Edward Androas, Manuel Rojo, Phillip Auyang, Ross McFall, Luis Felipe Gomez, Ahmed Mohamed, Eric Peden, Maham Rahimi

Journal: Annals of vascular surgery 2021;72():578-588

PMID: 33157243

Full Text on Elsevier Science View on PubMed

Abstract

Surgical site infection (SSIs) in lower extremity vascular procedures is a major contributor to patient morbidity and mortality. Despite previous advancements in preoperative and postoperative care, the surgical infection rate in vascular surgery remains high, particularly when groin incisions are involved. However, successfully targeting modifiable risk factors reduces the surgical site infection incidence in vascular surgery patients. We conducted an extensive literature review to evaluate the efficacy of various preventive strategies for groin surgical site infections. We discuss the role of preoperative showers, preoperative and postoperative antibiotics, collagen gentamicin implants, iodine impregnated drapes, types of skin incisions, negative pressure wound therapy, and prophylactic muscle flap transposition in preventing surgical site infection in the groin after vascular surgical procedures.

Address: Methodist DeBakey Heart and Vascular Center, Houston Methodist Hospital, Houston, TX.; Methodist DeBakey Heart and Vascular Center, Houston Methodist Hospital, Houston, TX. Electronic address: [email protected].

DOI: 10.1016/j.avsg.2020.09.046

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MeSH Terms: Groin, Humans, Risk Assessment, Risk Factors, Surgical Wound Infection, Treatment Outcome, Vascular Surgical Procedures