Damage-Control Laparotomy Lowers Surgical-Site Infection Risks

Damage-control laparotomy and primary fascial closure were associated with lower superficial, but not organ-space, surgical-site infection risks compared to primary fascial and skin closure. Body mass index increased superficial infection risk, while frailty increased organ-space infection risk. Interestingly, the number of operations did not impact surgical-site infection risks in patients who underwent damage-control laparotomy. This study, spanning 2006 to 2021 and including 906 patients, sheds light on the benefits of damage-control laparotomy in reducing postoperative complications.