Partial Closure of Skin Wounds after Kidney Transplantation Decreases the Incidence of Postoperative Wound Infections

Eric Siskind; Kristin Huntoon; Kavin Shah; Manuel Villa; A.J. Blood; Leandro Lumerman; Lara Fishbane; Edwin Goncharuk; Alisha Oropallo; Madhu Bhaskaran; Mala Sachdeva; Kenar D. Jhaveri; Kellie Calderon; Jeffrey Nicastro; Gene Coppa; Ernesto P. Molmenti

doi:10.1055/s-0032-1315797

International Journal of Angiology, Inhaltsverzeichnis

Int J Angiol 2012; 21(02): 085-088
DOI: 10.1055/s-0032-1315797

Original Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Partial Closure of Skin Wounds after Kidney Transplantation Decreases the Incidence of Postoperative Wound Infections

Eric Siskind

¹Department of Transplantation, Hofstra North Shore-Long Island Jewish School of Medicine, Manhasset, New York

,

Kristin Huntoon

¹Department of Transplantation, Hofstra North Shore-Long Island Jewish School of Medicine, Manhasset, New York

,

Kavin Shah

¹Department of Transplantation, Hofstra North Shore-Long Island Jewish School of Medicine, Manhasset, New York

,

Manuel Villa

¹Department of Transplantation, Hofstra North Shore-Long Island Jewish School of Medicine, Manhasset, New York

,

A.J. Blood

¹Department of Transplantation, Hofstra North Shore-Long Island Jewish School of Medicine, Manhasset, New York

,

Leandro Lumerman

¹Department of Transplantation, Hofstra North Shore-Long Island Jewish School of Medicine, Manhasset, New York

,

Lara Fishbane

¹Department of Transplantation, Hofstra North Shore-Long Island Jewish School of Medicine, Manhasset, New York

,

Edwin Goncharuk

¹Department of Transplantation, Hofstra North Shore-Long Island Jewish School of Medicine, Manhasset, New York

,

Alisha Oropallo

¹Department of Transplantation, Hofstra North Shore-Long Island Jewish School of Medicine, Manhasset, New York

,

Madhu Bhaskaran

¹Department of Transplantation, Hofstra North Shore-Long Island Jewish School of Medicine, Manhasset, New York

,

Mala Sachdeva

¹Department of Transplantation, Hofstra North Shore-Long Island Jewish School of Medicine, Manhasset, New York

,

Kenar D. Jhaveri

¹Department of Transplantation, Hofstra North Shore-Long Island Jewish School of Medicine, Manhasset, New York

,

Kellie Calderon

¹Department of Transplantation, Hofstra North Shore-Long Island Jewish School of Medicine, Manhasset, New York

,

Jeffrey Nicastro

¹Department of Transplantation, Hofstra North Shore-Long Island Jewish School of Medicine, Manhasset, New York

,

Gene Coppa

¹Department of Transplantation, Hofstra North Shore-Long Island Jewish School of Medicine, Manhasset, New York

,

Ernesto P. Molmenti

¹Department of Transplantation, Hofstra North Shore-Long Island Jewish School of Medicine, Manhasset, New York

› Institutsangaben

Abstract

Wound infections are a major cause of morbidity after kidney transplantation. The purpose of our study was to evaluate an improved technique of wound closure. Data corresponding to 104 consecutive live donor kidney recipients were prospectively collected and analyzed. Our routine standard technique involved closure of the abdominal wall muscle and fascia in one layer with interrupted nonabsorbable full thickness sutures. No drains were used. The skin was closed with interrupted 2–0 nylon sutures 4 to 5 cm apart, leaving the skin and subcutaneous tissue in between partially open. Patients were allowed to shower starting on the first postoperative day. Examination of the wounds was continued for at least 1 month postoperatively, and then routinely as needed. All patients were thoroughly informed preoperatively of our technique. There were no immediate postoperative wound infections. There were no instances of dehiscence, evisceration, or need for revision. All patients were able to continue with their routine daily activities. Cosmetic results were satisfactory in all cases. We did not experience any patient complaints with respect to our technique. Patient satisfaction scores conducted by Press Ganey and Associates ranked in the 99 percentile with respect to peers undergoing kidney transplantation. Three patients returned six months postoperatively with suture granulomas which were treated nonoperatively. Partial closure of the skin wound with no associated drains is an effective and cosmetically desirable way to decrease the incidence of postoperative infections in kidney transplantation.

Keywords

kidney transplantation - wound infection - wound closure - immunosuppression - transplant surgery

Volltext

Referenzen

References
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