THE IMPORTANCE OF SUBCUTANEOUS TISSUE THICKNESS FOR THE OCCURRENCE OF SURGICAL SITE INFECTION AFTER LUMBAR DISC SURGERY
Journal of Turkish Spinal Surgery, cilt.31, sa.4, ss.245-250, 2020 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 31 Sayı: 4
- Basım Tarihi: 2020
- Doi Numarası: 10.4274/jtss.galenos.2020.347
- Dergi Adı: Journal of Turkish Spinal Surgery
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.245-250
- Anahtar Kelimeler: Discectomy, infection, subcutaneous, surgical, wound
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Previous studies have shown that the length of the surgical path is important in surgical wound infection after a major lumbar surgery. We investigated for the first time the relationship between wound infection occurrence after lumbar disc surgery and subcutaneous tissue thickness. Materials and Methods: We retrospectively identified 1,275 patients who underwent lumbar disc surgery between 2015 and 2020. Of these, 32 patients were hospitalised with a diagnosis of surgical superficial or deep wound infection. Demographic data, comorbidities, body mass index and body surface areas (BSAs) of the patients were recorded. Subcutaneous adipose tissue thickness and distance from the lamina to the skin were measured on magnetic resonance imaging examinations. Results were compared with that of the control group. Results: Superficial and deep wound infections were detected in 62.5% and 37.5% of patients, respectively. Age (p=0.182), comorbidities (p=0.425), body mass index (p=0.182), BSA (p=0.569) and subcutaneous adipose tissue (p=0.110) did not contribute to the occurrence of wound infection after lumbar disc surgery. However, the distance between the lamina and skin (p=0.017) was found to be statistically different in women with a wound infection. Conclusion: We found that that a long distance between the lamina and skin in women might be a risk factor for the occurrence of surgical wound infections.