Universität zu Köln

Scheunemann, Sonke, Daenenfaust, Lars and Langenbach, Mike Ralf (2022). Use of plastic adhesive skin drapes in cancer patients undergoing totally implantable vascular access port (TIVAP) placement-a randomized controlled pilot study. Langenbecks Arch. Surg., 407 (3). S. 1257 - 1263. NEW YORK: SPRINGER. ISSN 1435-2451

Full text not available from this repository.

Abstract

Purpose A totally implantable vascular access port (TIVAP) is commonly required in cancer patients. Possible adverse events after TIVAP implantation include surgical site infection (SSI) and port-related bacteremia. This study examined whether adhesive surgical drapes can reduce the risk of SSI. Methods A total of 100 mostly cancer patients were randomized into two groups before undergoing TIVAP implantation by surgical cut-down. In one group, an adhesive, non-impregnated drape was applied to the skin prior to incision, while the control group underwent surgery without a drape. Swabs were taken from the surgical site and sent for microbiologic testing. SSI rates were compared between groups. Results No SSI occurred within 30 days after surgery. In each group, two patients died. There were 5 complications (port thrombosis, port dislocation, two cases of pneumothorax, skin allergy), all in the intervention group (p = 0.056). Using the incision drape prolonged procedure time by + 5 min (95% CI - 1 to + 10, p = 0.125). Microbiologic swab testing failed to detect any effect of the incision drape. Conclusions Plastic adhesive skin drapes may be unnecessary in cancer patients who undergo surgical implantation of a TIVAP.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Scheunemann, Sonke UNSPECIFIED UNSPECIFIED UNSPECIFIED Daenenfaust, Lars UNSPECIFIED UNSPECIFIED UNSPECIFIED Langenbach, Mike Ralf UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-669724
DOI:	10.1007/s00423-022-02489-6
Journal or Publication Title:	Langenbecks Arch. Surg.
Volume:	407
Number:	3
Page Range:	S. 1257 - 1263
Date:	2022
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1435-2451
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SURGICAL SITE INFECTION; LONG-TERM; SURGERY; COMPLICATIONS; EFFICACY; DEVICES Multiple languages Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/66972