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In orthopaedic surgery, numerous attempts have been made to reduce SSIs in the operating theatre, including the use of peri-operative antibiotics, laminar flow operating rooms, body exhaust suits, multiple instrument trays and reduction of intra-operative operation room traffic [ 37- 40].
These included age, gender, BMI, comorbidities, American Society of Anaesthesiologists (ASA) score [ 13], pre-operative/peri-operative/post-operative medications, pre-operative eGFR, operation type and tourniquet use.
Information on variables related to operative procedure (ie, duration of operation, type of operation, degree of wound contamination, surgeon, and antibiotic prophylaxis) was also reviewed.
Patients were excluded if any of the following key variables were missing: age/date of birth, operative procedure or urgency, operation date and surgical severity, ASA-PS grade and mortality status.
Data collected from each paper included number of patients and operations, age, sex, operative procedure, closure method, grade of surgeon, antibiotic cover, and dressing applied as well as data on the incidence of wound infection, dehiscence, inflammation, discharge, necrosis, abscess formation, allergic reactions, length of stay in hospital, closure time, and patients' satisfaction and pain.
There were no significant differences in patient characteristics, operative procedure, duration since the operation, postoperative acute pain within 24 h after surgery, and the incidence of required rescue analgesics between the patients with and without chronic pain.
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After a median post-operative (median operation time: 88 min, range: 63 116 min) follow-up period of 40.3 months (range: 18 84 months) without major complications and a median post-operative stay of 13.8 days (range: 6 15 days), a functional neovagina was created in seven of eight patients.
Groups were comparable for age, pre-operative ROM, operation duration and intraoperative blood loss.
In addition, intra-operative data, operation time, arterial clamp time, the amount of fluid or blood infused and the urine output were collected.
Comparison between the predicted operative mortality risk before and after the operation may offer an assessment of the operative performance.
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