Objective: To investigate the effect of continuous double-lumen irrigation drainage at constant temperature on the control of abdominal infection after surgery, providing a reference for clinical treatment. Methods: From December 2022 to August 2023, 100 patients with abdominal infections after surgery were selected from Wendeng People’s Hospital in Weihai. They were randomly divided into a control group (50 cases, using conventional single-hole rubber irrigation drainage) and an observation group (50 cases, using continuous double-lumen irrigation drainage at constant temperature). The inflammatory and immune indicators of the two groups were compared after different interventions, and the specific conditions of abdominal infection were statistically analyzed. Results: There was no significant difference in inflammatory indicators between the two groups before intervention (P > 0.05). After the intervention, the inflammatory indicators of the observation group were significantly lower (P < 0.05). There was no significant difference in immune function indicators between the two groups before intervention (P > 0.05). After intervention, the immune function indicators of the observation group showed significant improvement (P < 0.05). The control of abdominal infection in the observation group was better than in the control group (P < 0.05). Conclusion: Continuous double-lumen irrigation drainage at constant temperature has a better effect on controlling abdominal infection after surgery, improving the infection condition, and enhancing the immune function of patients.
Wu Di, Yan Yuping, Wang Zhixia, et al., 2022, Effect of Thermostatic Continuous Double-Cannula Flushing Drainage on Fistula Healing in Patients with Intestinal Fistula after Colorectal Cancer Surgery. Tumor Foundation and Clinic, 35(5): 418–421.
Ma P, Li S, Cao Y, et al., 2023, Surgical Treatment of Duodenal Fistula with Abdominal Infection. Chinese Journal of General Surgery, 38(2): 101–104.
Deng Z, Zhu H, Du W, et al., 2023, Abdominal Infection Combined with Pneumoperitoneum after Renal Transplantation: A Case Report. Medicine (Baltimore), 102(5): e32836. https://doi.org/10.1097/MD.0000000000032836
Wang P, 2020, Progress in the Treatment of Abdominal Anaerobic Bacterial Infections. Chinese Journal of Gastrointestinal Surgery, 23(11): 1028–1031.
Che Y, Ma B, Yang X, et al., 2021, Effect Analysis of CT-Guided Abdominal Double-Cannula Negative Pressure Drainage Aspiration for Treating Intestinal Fistula. Gansu Medicine, 40(12): 1084–1085.
Misky A, Hotouras A, Ribas Y, et al., 2016, A Systematic Literature Review on the Use of Vacuum-Assisted Closure for Enterocutaneous Fistula. Colorectal Dis, 18(9): 846–851. https://doi.org/10.1111/codi.13351
Mazuski JE, Tessier JM, May AK, et al., 2017, The Surgical Infection Society Revised Guidelines on the Management of Intra-Abdominal Infection. Surg Infect (Larchmt), 18(1): 1–76. https://doi.org/10.1089/sur.2016.261
Li M, 2019, Application Research of Continuous Double-Cannula Flushing Negative Pressure Suction Method in Treating Patients with Acute Intestinal Fistula after Surgery. Medical Diet Therapy and Health, 2019(5): 41.
Che M, Zhu L, Huang H, 2014, Effect and Nursing of Continuous Double-Cannula Flushing Negative Pressure Suction Method in Treating Patients with Acute Intestinal Fistula after Surgery. Chinese Journal of Modern Nursing, 20(9): 1091–1093.
Barie PS, Kao LS, Moody M, et al., 2023, Infection or Inflammation: Are Uncomplicated Acute Appendicitis, Acute Cholecystitis, and Acute Diverticulitis Infectious Diseases. Surg Infect (Larchmt), 24(2): 99–111. https://doi.org/10.1089/sur.2022.363
Wang J, Gao J, Hu P, et al., 2014, Analysis of Diagnosis and Treatment of Severe Abdominal Infection after Abdominal Trauma in 37 Cases. Journal of Trauma Surgery, 2014(3): 212–214.
Surgical Infection and Critical Care Medicine Group of the Surgery Branch of the Chinese Medical Association, Professional Committee of Intestinal Fistula Surgeons of the Chinese Society of Surgeons, 2020, Guidelines for the Diagnosis and Treatment of Abdominal Infections in China (2019 Edition). Chinese Journal of Practical Surgery, 40(1): 1–16.
Sartelli M, Chichom-Mefire A, Labricciosa FM, et al., 2017, The Management of Intra-Abdominal Infections from a Global Perspective: 2017 WSES Guidelines for Management of Intra-Abdominal Infections. World J Emerg Surg, 12: 29. https://doi.org/10.1186/s13017-017-0141-6
Qiu W, Zhang Y, 2021, Effect of Double-Cannula Drainage Combined with Continuous Low-Pressure Flushing of the Anorectal Double-Cannula in Preventing and Controlling Anastomotic Fistula in Patients with Low and Mid-Rectal Cancer after Surgery. Henan Medical Research, 30(35): 6601–6604.
Sartelli M, Coccolini F, Kluger Y, et al., 2021, WSES/GAIS/SIS-E/WSIS/AAST Global Clinical Pathways for Patients with Intra-Abdominal Infections. World J Emerg Surg, 16(1): 49. https://doi.org/10.1186/s13017-021-00387-8