A Retrospective Study of Surgical Site Infection in Patients Undergoing Surgery for the Perforation of Lower Intestinal Tract

Abstract

We retrospectively examined surgical site infection (SSI) in patients undergoing surgery for the perforation of the lower intestinal tract. We divided them using the Hinchey classification. From Apr. 2007 to Oct. 2010, 60 cases were examined. The rate of occurrence of SSI was stage I 30%, stage II 25%, stage III 75%, and stage IV 81.8%. To reduce the occurrence of SSI, we suggest that it is important to treat patients according to their respective Hinchey classification. It is difficult to avoid the occurrence of SSI in patients at stage III and IV. We need to consider a special management in these patients, such as delayed primary closure or one layer suture using stainless steel.