Abstract
Infectious complications following surgery remain a major cause of morbidity and mortality in the surgical patient. Bacteria are commonly present during surgical procedures, and the balance between bacterial presence and host defense is of critical importance. The degree of bacterial inoculum is thought to correlate with the risk of developing postoperative infection. Traditionally, surgical wounds have been classified according to the predicted degree of bacterial contamination. Surgical management of “classes” of surgical wounds has evolved using this classification (Table 7–1).
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Haley RW, Culver DH, Morgan WM, et al. Identifying patients at high risk of surgical wound infection: a simple multivariate index of patient susceptibility and wound contamination. Am J Epidemiol 1985; 121: 206.
Culver DH, Horan TC, Gaynes RP, et al. Surgical wound infection rates by wound class, operative procedure and patient risk index. Am J Med 1991; 91 (suppl 3B): 152S.
Culver DH, Horan TC, Gaynes RP, et al. Surgical wound infection rates by wound class, operative procedure and patient risk index. Am J Med 1991;(suppl 3B ): 152S.
Hunt TK, Hopf HW. Wound healing and wound infection. Surg Clin North Am 1997; 77: 587.
Hunt TK, Hopf HW. Wound healing and wound infection. Surg Clin North Am 1997; 77: 587.
Kurz A, Sessler D, Lenhardt R. Perioperative nor-mothermia to reduce the incidence of surgical-wound infection and shorten hospitalization. N Engl J Med 1996; 334: 1209.
Kaiser AB. Antimicrobial prophylaxis in surgery. N 13. Engl J Med 1986; 315: 1129.
Classin DC, Evans RS, Pestotnik SL, et al. The timing of prophylactic administration of antibiotics and the 14. risk of surgical-wound infection. N Engl J Med 1992; 326: 281.
Woods RK, Patchen Dellinger E. Current guidelines 15. for antibiotic prophylaxis of surgical wounds. Am Fam Pract 1998; 57: 2731.
Fisher JE. The status of anti-infectives in surgery 16. [roundtable discussion]. Am J Surg 1996; 172(suppl 6A): 49s.
Fisher JE. The status of anti-infectives in surgery 17. [roundtable discussion]. Am J Surg 1996; 172(suppl 6A): 49s.
Kurz A, Sessler DI, Lenhardt R. Perioperative normothermia to reduce the incidence of surgical-wound infection and shorten hospitalization. N Engl J Med 1996; 334: 1209.
Kurz A, Kurz M, Poeschl G, et al. Forced-air warming maintains intraoperative normothermia better than circulating-water mattresses. Anesth Analg 1993; 77: 89.
Madder JE, Edlich RF, Custer JR, et al. Studies in the management of the contaminated wound. Am J Surg 1970; 119: 222.
Krukowski SH, Matheson NA. The management of peritoneal and parietal contamination in abdominal surgery. Br J Surg 1983; 70: 440.
Badia JM, Torres JP, Tue C, et al. Saline wound irrigation reduces the postoperative infection rate in guinea pigs. J Surg Res 1996; 63: 457.
Meissner K, Meisner G. Primary open wound management after emergency laparotomies for conditions associated with bacterial contamination. Am J Surg 1984; 148: 613.
Rights and permissions
Copyright information
© 2002 Springer Science+Business Media New York
About this chapter
Cite this chapter
Corwin, C.L. (2002). Management of the Contaminated Operation. In: Chassin’s Operative Strategy in General Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-22532-6_7
Download citation
DOI: https://doi.org/10.1007/978-0-387-22532-6_7
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4757-4744-7
Online ISBN: 978-0-387-22532-6
eBook Packages: Springer Book Archive