new YORK, 23 mar (Reuters) – hypothermia

intraoperative of less than 35 degrees Celsius increases more than the

double the risk of infections in the area of the operation then

of a laparotomy for trauma, according to a report

published in Annals of Surgery.

“our results suggest that the normothermia

intraoperative should be kept strictly in the

patients who undergo surgical procedures by

trauma”, concluded the team doctor Mark j. Seamon, of the

Cooper University hospital in Camden, New Jersey.

Experts pointed out that the intraoperative normothermia is

one measure of quality established in Colorectal, surgery

but who have not studied their effects on the rate of

infection in the surgical area after laparotomy for

trauma.

To investigate the issue, the team reviewed the results of

524 patients who survived at least four days after

traumatic emergency laparotomy, including 189 to

developed wound infections.

The intraoperative average lowest temperature ever was 35.2

degrees Celsius and a 30.5 per cent had at least one measurement

below 35 degrees, the more predictive point of infection in

the wound.

After controlling for factors that could cause confusion,

the authors found that for each degree below 35 degrees

Celsius, the risk of infection in the wound site

increased by 221 percent.

The experts explained that hypothermia shoots the

cutaneous vasoconstriction, which leads to relative hypoxia of the

wound, and this sometimes affects the defense mechanisms of the

host.

El doctor Seamon and his colleagues pointed out that maintaining the

warm temperature during the operation demonstrated to reduce the

risk of infection in the wound after general surgery

head and neck or cardiothoracic, and also after a

cholecystectomy and open abdominal surgery.

“as far as I know, this is the first report that involves

intraoperative hypothermia in the development of infection in

the wound after laparotomy for trauma”,

indicated investigators.

“our data suggest that measures to keep the

temperature during the operation will help to prevent the

infection in the wound area and improve the results

after laparotomy for trauma”, advised the team.

Source: Annals of Surgery, online March 1, 2012