The Effect of Wound Problems Wound Dressing in Patients With Colorectal Cancer Surgery
Colorectal Cancer, Surgery, Surgery--Complications
About this trial
This is an interventional prevention trial for Colorectal Cancer focused on measuring colorectal cancer, colorectal surgery, surgical site infection, surgical wound complication, negative pressure wound therapy
Eligibility Criteria
Inclusion Criteria:
Patients undergoing open colorectal cancer surgery, clean-contaminated (Class-II) or contaminated (Class-III) wounds, ASA 2, 3, or 4, and fulfilling at least one of the following criteria were included:
- 75 years old and above,
- Chronic disease such as Diabetes (DM), Chronic obstructive pulmonary disease (COPD), Heart failure (Ejection fraction ≤ 40%), Preoperative anemia (Hb≤10mg/dl),
- Nutritional problems (BMI 30 kg / m2 and over, malnutrition (NRS 2002 score 3 and over or albumin≤3 mg/dl),
- Regular steroids or anticoagulants,
- Neoadjuvant chemotherapy and radiotherapy.
Exclusion Criteria:
-
Sites / Locations
- Erciyes University
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
intervention grpup
control group
pNPWT device was placed in the pNPWT group for seven days. The incision area was evaluated during the first seven days, and on the 15th, 21st, and 30th days postoperatively for the presence of hematoma, seroma, wound dehiscence/evisceration, and SSI.
The wound of the control group was covered with a sterile gauze dressing. After the wound was left closed for 48 hours in the clinical routine, the surgical site was left open, supporting healing. Therefore, the dressing of the control group was removed after 48 hours, and the wound was left open. The incision area was evaluated during the first seven days, and on the 15th, 21st, and 30th days postoperatively for the presence of hematoma, seroma, wound dehiscence/evisceration, and SSI.