Alexis Wound Retractor for Radical Cystectomy: A Safe and Effective Method for Retraction
Surgical site infection rates remain a common postoperative problem that continues to affect patients undergoing urologic surgery. Our study seeks to evaluate the difference in surgical site infection rates in patients undergoing open radical cystectomy when comparing the Bookwalter vs. the Alexis w...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2018/8727301 |
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| _version_ | 1832568429095157760 |
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| author | Ajaydeep S. Sidhu Eric Marten Nikita Bodoukhin George Wayne Elizabeth Nagoda Akshay Bhandari Alan M. Nieder |
| author_facet | Ajaydeep S. Sidhu Eric Marten Nikita Bodoukhin George Wayne Elizabeth Nagoda Akshay Bhandari Alan M. Nieder |
| author_sort | Ajaydeep S. Sidhu |
| collection | DOAJ |
| description | Surgical site infection rates remain a common postoperative problem that continues to affect patients undergoing urologic surgery. Our study seeks to evaluate the difference in surgical site infection rates in patients undergoing open radical cystectomy when comparing the Bookwalter vs. the Alexis wound retractors. After institutional review board approval, we performed a retrospective chart review from February 2010 through August 2017 of patients undergoing open radical cystectomy with urinary diversion for bladder cancer. We then stratified the groups according to whether or not the surgery was performed with the Alexis or standard Bookwalter retractor. Baseline characteristics and operative outcomes were then compared between the two groups, with the main measure being incidence of surgical site infection as defined by the CDC. We evaluated those presenting with surgical site infections within or greater than 30 postoperatively. Of 237 patients who underwent radical cystectomy with either the Alexis or Bookwalter retractor, 168 patients were eligible to be included in our analysis. There was no statistical difference noted regarding surgical site infections (SSIs) between the two groups; however, the trend was in favor of the Alexis (3%) vs. the Bookwalter (11%) at less than 30 days surgery. The Alexis wound retractor likely poses an advantage in reducing the incidence in surgical site infections in patients undergoing radical cystectomy; however, multicenter studies with larger sample sizes are suggested for further elucidation. |
| format | Article |
| id | doaj-art-5442e2cec77a4e8b9b9865924258b459 |
| institution | Kabale University |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-5442e2cec77a4e8b9b9865924258b4592025-02-03T00:59:08ZengWileyAdvances in Urology1687-63691687-63772018-01-01201810.1155/2018/87273018727301Alexis Wound Retractor for Radical Cystectomy: A Safe and Effective Method for RetractionAjaydeep S. Sidhu0Eric Marten1Nikita Bodoukhin2George Wayne3Elizabeth Nagoda4Akshay Bhandari5Alan M. Nieder6Columbia University Division of Urology, Mount Sinai Medical Center, Miami Beach 33140, FL, USAHerbert Wertheim College of Medicine, Florida International University, Miami 33199, FL, USAHerbert Wertheim College of Medicine, Florida International University, Miami 33199, FL, USAColumbia University Division of Urology, Mount Sinai Medical Center, Miami Beach 33140, FL, USAColumbia University Division of Urology, Mount Sinai Medical Center, Miami Beach 33140, FL, USAColumbia University Division of Urology, Mount Sinai Medical Center, Miami Beach 33140, FL, USAColumbia University Division of Urology, Mount Sinai Medical Center, Miami Beach 33140, FL, USASurgical site infection rates remain a common postoperative problem that continues to affect patients undergoing urologic surgery. Our study seeks to evaluate the difference in surgical site infection rates in patients undergoing open radical cystectomy when comparing the Bookwalter vs. the Alexis wound retractors. After institutional review board approval, we performed a retrospective chart review from February 2010 through August 2017 of patients undergoing open radical cystectomy with urinary diversion for bladder cancer. We then stratified the groups according to whether or not the surgery was performed with the Alexis or standard Bookwalter retractor. Baseline characteristics and operative outcomes were then compared between the two groups, with the main measure being incidence of surgical site infection as defined by the CDC. We evaluated those presenting with surgical site infections within or greater than 30 postoperatively. Of 237 patients who underwent radical cystectomy with either the Alexis or Bookwalter retractor, 168 patients were eligible to be included in our analysis. There was no statistical difference noted regarding surgical site infections (SSIs) between the two groups; however, the trend was in favor of the Alexis (3%) vs. the Bookwalter (11%) at less than 30 days surgery. The Alexis wound retractor likely poses an advantage in reducing the incidence in surgical site infections in patients undergoing radical cystectomy; however, multicenter studies with larger sample sizes are suggested for further elucidation.http://dx.doi.org/10.1155/2018/8727301 |
| spellingShingle | Ajaydeep S. Sidhu Eric Marten Nikita Bodoukhin George Wayne Elizabeth Nagoda Akshay Bhandari Alan M. Nieder Alexis Wound Retractor for Radical Cystectomy: A Safe and Effective Method for Retraction Advances in Urology |
| title | Alexis Wound Retractor for Radical Cystectomy: A Safe and Effective Method for Retraction |
| title_full | Alexis Wound Retractor for Radical Cystectomy: A Safe and Effective Method for Retraction |
| title_fullStr | Alexis Wound Retractor for Radical Cystectomy: A Safe and Effective Method for Retraction |
| title_full_unstemmed | Alexis Wound Retractor for Radical Cystectomy: A Safe and Effective Method for Retraction |
| title_short | Alexis Wound Retractor for Radical Cystectomy: A Safe and Effective Method for Retraction |
| title_sort | alexis wound retractor for radical cystectomy a safe and effective method for retraction |
| url | http://dx.doi.org/10.1155/2018/8727301 |
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