Publications by authors named "D Fraccalvieri"
Background: Sacral neuromodulation might be effective to palliate low anterior resection syndrome after rectal cancer surgery, but robust evidence is not available.
Objective: To assess the impact of sacral neuromodulation on low anterior resection syndrome symptoms as measured by validated scores and bowel diaries.
Design: Randomized, double-blind, 2-phased, controlled, multicenter crossover trial (NCT02517853).
Leveraging a nationwide infection surveillance program to implement a colorectal surgical site infection reduction bundle: a pragmatic, prospective, and multicenter cohort study.
Int J Surg
April 2023
Article Synopsis
- Bundled interventions for colorectal surgery were analyzed in a nationwide study to determine their effectiveness in reducing surgical site infections (SSI) compared to a control group.
- The study involved 37,849 procedures, revealing that implementing the care bundle reduced overall SSI rates from 18.38% in the control group to 10.17% in the intervention group, showing a significant decrease in infection rates.
- Key components of the bundle, such as laparoscopy, oral antibiotic prophylaxis (OAP), and mechanical bowel preparation, were most effective in lowering both overall SSI and organ/space SSI, highlighting the importance of these practices for improving surgical outcomes.
Background: Colorectal surgery is associated with the highest rate of surgical site infection (SSI). This study analyses the effectiveness of an interventional surveillance program on SSI rates after elective colorectal surgery.
Material And Methods: Cohort study showing temporal trends of SSI rates and Standardized Infection Ratio (SIR) in elective colorectal surgery over a 12-year period.