Effect of triclosan-coated sutures on surgical site infections in pilonidal disease: Prospective randomized study

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dc.authorid0000-0002-2282-7207
dc.contributor.authorArslan, Naciye Çiğdem
dc.contributor.authorAtasoy, Gülsen
dc.contributor.authorAltıntaş, Tansu
dc.contributor.authorTerzi, Cem
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:50:07Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:50:07Z
dc.date.issued2018
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.descriptionWOS: 000444736000015
dc.descriptionPubMed ID: 30062657
dc.description.abstractPurpose The aim of this study is to investigate the effect of triclosan-coated sutures on surgical site infections after wide excision and primary closure for pilonidal disease. Methods One hundred seventy-seven patients were randomized into two groups: 91 in control and 86 in triclosan groups. In the control group, 1/0 monofilament polypropylene retention sutures, 3/0 polyglactin subcutaneous sutures, and 3/0 polypropylene skin sutures were used. In the triclosan group, 1/0 triclosan-coated monofilament polydioxanone, 3/0 triclosan-coated polyglactin, and 3/0 triclosan-coated monofilament polydioxanone were used. Postoperative care and follow-up was made by a surgeon according to Centers for Disease Control guideline. Surgical site infection rates between groups were compared. Secondary outcomes were seroma and wound dehiscence. Results Seroma was seen in 30 (16.9%) patients: 20 (23.3%) in the triclosan group and 10 (10.9%) in the control group (p= 0.030). Thirteen (7.3%) patients had superficial wound dehiscence: 5 (5.5%) patients in the control group and 10 (11.6%) patients in the triclosan group (p = 0.116). Overall surgical site infection (SSI) rate was 15.8% (n = 28): 19 (20.8%) patients in the control group and 9 (10.5%) patients in the triclosan group (p = 0 .0 44). Healing was observed on mean 17.8 +/- 6.7 days. Primary and secondary healing rates and time to healing were similar between groups. Conclusion Triclosan-coated sutures decreased surgical site infection rate but had no effect on time to healing in pilonidal disease. Seroma and wound dehiscence were more common in triclosan groups. Randomized trials are needed to clear the effect of triclosan-coated sutures on postoperative wound complications.
dc.identifier.citationArslan, N. Ç., Atasoy, G., Altıntaş, T. ve Terzi, C. (2018). Effect of triclosan-coated sutures on surgical site infections in pilonidal disease: Prospective randomized study. International Journal of Colorectal Disease, 33(10), 1445-1452. https://dx.doi.org/10.1007/s00384-018-3138-z
dc.identifier.doi10.1007/s00384-018-3138-z
dc.identifier.endpage1452
dc.identifier.issn0179-1958
dc.identifier.issn1432-1262
dc.identifier.issue10
dc.identifier.scopusqualityQ2
dc.identifier.startpage1445
dc.identifier.urihttps://dx.doi.org/10.1007/s00384-018-3138-z
dc.identifier.urihttps://hdl.handle.net/20.500.12511/1884
dc.identifier.volume33
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofInternational Journal of Colorectal Diseaseen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectSurgical Site Infection
dc.subjectPilonidal Disease
dc.subjectTriclosan
dc.subjectWound Infection
dc.subjectAntibacterial Sutures
dc.titleEffect of triclosan-coated sutures on surgical site infections in pilonidal disease: Prospective randomized study
dc.typeArticle

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