title: Novel closing method using subcutaneous continuous drain for preventing surgical site infections in radical cystectomy.
abstract: To reduce the incidence of surgical site infection (SSI) after radical cystectomy, a new closing method using subcutaneous continuous aspiration drain was developed and compared to the conventional closing method. The new method involved (a) closed aspiration with an indwelling aspiration drain without suture of the subcutaneous fat and (b) covering with hydrocolloid wound dressing after suture of the dermis with 4-0 absorbable thread and reinforcement using strips. The incidence of SSI was significantly improved by using the new method. Furthermore, univariate and multivariate analysis associated with SSI revealed that the new closing method was statistically correlated with 85% reduction of SSI (odds ratio: 0.15, 95% confidence interval: 0.03-0.69).Our new method using continuous aspiration with subcutaneous drain is useful for preventing SSI through removal of effusions and reduction of dead space by apposition of the subcutaneous fat.
authors.affiliation: Department of Nephro-Urology, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-Cho, Mizuho-Ku, Nagoya 467-8601, Japan ; Department of Urology, J. A. Aichi Anjo Kosei Hospital, 28 Higashihirokute, Anjo-Cho, Anjo 446-0082, Japan.
authors.forename: Yasuhiko
authors.initials: Y
authors.lastname: Hirose
authors.affiliation: Department of Urology, J. A. Aichi Anjo Kosei Hospital, 28 Higashihirokute, Anjo-Cho, Anjo 446-0082, Japan.
authors.forename: Taku
authors.identifier: 0000-0002-7638-6048
authors.initials: T
authors.lastname: Naiki
authors.affiliation: Department of Nephro-Urology, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-Cho, Mizuho-Ku, Nagoya 467-8601, Japan ; Department of Urology, J. A. Aichi Anjo Kosei Hospital, 28 Higashihirokute, Anjo-Cho, Anjo 446-0082, Japan.
authors.forename: Ryosuke
authors.initials: R
authors.lastname: Ando
authors.affiliation: Department of Nephro-Urology, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-Cho, Mizuho-Ku, Nagoya 467-8601, Japan.
authors.forename: Akihiro
authors.initials: A
authors.lastname: Nakane
authors.affiliation: Department of Urology, J. A. Aichi Anjo Kosei Hospital, 28 Higashihirokute, Anjo-Cho, Anjo 446-0082, Japan.
authors.forename: Toshiki
authors.initials: T
authors.lastname: Etani
authors.affiliation: Department of Urology, J. A. Aichi Anjo Kosei Hospital, 28 Higashihirokute, Anjo-Cho, Anjo 446-0082, Japan.
authors.forename: Keitaro
authors.initials: K
authors.lastname: Iida
authors.affiliation: Department of Nephro-Urology, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-Cho, Mizuho-Ku, Nagoya 467-8601, Japan.
authors.forename: Hidetoshi
authors.initials: H
authors.lastname: Akita
authors.affiliation: Department of Nephro-Urology, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-Cho, Mizuho-Ku, Nagoya 467-8601, Japan.
authors.forename: Takehiko
authors.initials: T
authors.lastname: Okamura
authors.affiliation: Department of Urology, J. A. Aichi Anjo Kosei Hospital, 28 Higashihirokute, Anjo-Cho, Anjo 446-0082, Japan.
authors.forename: Kenjiro
authors.initials: K
authors.lastname: Kohri
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