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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X
EISSN: 1024-297X
Vol. 18, No. 1, 2013, pp. 18-26
Bioline Code: js13003
Full paper language: English
Document type: Research Article
Document available free of charge

East and Central African Journal of Surgery, Vol. 18, No. 1, 2013, pp. 18-26

 en Surgical Measures to Reduce Infection in Open Colorectal Surgery
Weledji, E.P. & Ngowe, M.N.


Post-operative infection is an important complication of colorectal surgery and continued efforts are needed to minimize the risk of infection. A better understanding about susceptibility to infections will explain why a patient with minimal bacterial contamination at surgery may develop a pelvic abscess whereas another patient with massive faecal contamination after stercoral perforation of the colon may not develop infective complications. The most important factor in determining post-operative sepsis is the presence of viable organisms in the surgical field prior to wound closure. This review focuses on aspects of operative techniques that reduce infection in colorectal surgery. Despite antibiotic prophylaxis and therapy, the inadequate attention to technique and incorrect surgical decision making (i.e. surgeon-related factor) remain the single most important factor that can influence the morbidity and mortality from sepsis in colorectal surgery.

© Copyright 2013 - East and Central African Journal of Surgery

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