Difference of recommendations between “Practical guideline for operative medicine” and “Guideline of preoperative management for prevention of SSI in digestive surgery 2018”

Abstract

“Practical guideline for operative medicine” issued by Japanese Association for Operative Medicine and “Guideline of Perioperative management for prevention of SSI in digestive surgery 2018” issued by Japan Society for Surgical Infection were compared. Difference of recommendations were found in intraoperative redosing and duration of antimicrobial prophylaxis, drugs for preoperative skin antisepsis, use of incise drape, intraoperative exchange of gloves and double gloving, use of new instruments for abdominal closure, wound irrigation, intraabdominal irrigation, perioperative glucose control, and perioperative hyperoxygenation. Recommendations of guidelines were basically decided based on the evidence, however, they were not always the same. Each institution has to select the recommendations after strict investigation into the reasons and the background of each recommendation.