A Study to Evaluate a Quality Improvement Intervention to Reduce Wound Separation Rates in Obese Gynecologic Oncology Service Patients Undergoing Abdominal Surgery
| Status: | Completed |
|---|---|
| Conditions: | Hospital |
| Therapuetic Areas: | Other |
| Healthy: | No |
| Age Range: | 18 - 89 |
| Updated: | 4/21/2016 |
| Start Date: | December 2011 |
| End Date: | July 2013 |
Approximately 500,000 surgical site infections occur annually in the US. These lead to worse
patient quality of life, more outpatient and emergency room visits, readmissions and home
services, with an estimated increase in costs of at least $3500 per complication. Surgical
site infections are associated with increasing body mass index. There is limited and
conflicting data of the utility of multiple surgical interventions to decrease the risk of
surgical site complications. The investigators explored the effect of a prospective care
pathway for closure of vertical abdominal wounds on patient's wound complications.
patient quality of life, more outpatient and emergency room visits, readmissions and home
services, with an estimated increase in costs of at least $3500 per complication. Surgical
site infections are associated with increasing body mass index. There is limited and
conflicting data of the utility of multiple surgical interventions to decrease the risk of
surgical site complications. The investigators explored the effect of a prospective care
pathway for closure of vertical abdominal wounds on patient's wound complications.
Inclusion Criteria:
Women were eligible if they were between the ages of 18-89, with a BMI ≥ 30 kg/m2
undergoing a gynecologic procedure via a vertical abdominal incision. -
Exclusion Criteria:
Planned laparoscopic surgery, planned panniculectomy or other plastic surgery procedure at
the time of laparotomy, prior history of hernia repair with mesh or planned mesh hernia
repair at the current procedure, enterotomy or intestinal surgery, a history of prior
radiation to the abdomen or pelvis, concurrent pregnancy, current incarceration, or
inability to provide informed consent, including inability to understand spoken English.
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