The results of this study suggest that preoperative warming can reduce rates of SSI after surgery .
OBJECTIVE To determine whether preoperative warming can reduce the risk of surgical site infection ( SSI ) after surgery .
BACKGROUND Intraoperative hypothermia is a risk factor for the occurrence of  SSI in patients after surgery .
However , the effectiveness of preoperative warming in reducing the incidence of the condition remains unclear .
Negative Pressure Wound Therapy for Surgical-site Infections: A Randomized Trial.
OBJECTIVE This study seeks to evaluate the efficacy of negative pressure wound therapy for surgical-site infection ( SSI ) after open pancreaticoduodenectomy . BACKGROUND Despite improvement in infection control , SSIs remain a common cause of morbidity after abdominal surgery . SSI has been associated with an increased risk of reoperation , prolonged hospitalization , readmission , and higher costs . Recent retrospective studies have suggested that the use of negative pressure wound therapy can potentially prevent this complication . METHODS We conducted a single-center r and omized , controlled trial evaluating surgical incision closure during pancreaticoduodenectomy using  negative pressure wound therapy in patients at high risk for SSI . We r and omly assigned patients to receive negative pressure wound therapy or a st and ard wound closure . The primary end point of the study was the occurrence of a postoperative SSI . We evaluated the economic impact of the intervention . RESULTS From January 2017 through February 2018 , we r and omized 123 patients at the time of closure of the surgical incision .  SSI occurred in 9.7 % ( 6/62 ) of patients in the negative pressure wound therapy group and in 31.1 % ( 19/61 ) of patients in the st and ard closure group ( relative risk = 0.31 ; 95 % confidence interval , 0.13 - 0.73 ; P = 0.003 ) . This corresponded to a relative risk reduction of 68.8 % . SSIs were found to independently increase the cost of hospitalization by 23.8 % . CONCLUSIONS The use of negative pressure wound therapy result ed in a significantly lower risk of SSIs . Incorporating this intervention in surgical practice can help reduce a complication that significantly increases patient harm and healthcare costs
The results of this study suggest that preoperative warming can reduce rates of SSI after surgery .
OBJECTIVE To determine whether preoperative warming can reduce the risk of surgical site infection ( SSI ) after surgery .
BACKGROUND Intraoperative hypothermia is a risk factor for the occurrence of  SSI in patients after surgery .
However , the effectiveness of preoperative warming in reducing the incidence of the condition remains unclear .