Alexis - Clinical Evidence

Alexis - Clinical Evidence

Alexis - Clinical Evidence

Visit www.stopwoundinfection.com to learn more about surgical site infection prevention. Alexis® Wound Protectors/Retractors 360o Wound Protection 360o Atraumatic Retraction
Maximizes exposure, minimizes incision size
Offers ultimate versatility “Our data demonstrate that a statistically significant reduction in the incidence of wound infection was achieved with the use of a wound-protection device. This device provides a simple intervention that may eventually have a large impact on the incidence of surgical wound infection and therefore annual health care expenditures.” Lee P., et al.

Use ofWound-Protection System and PostoperativeWound-Infection Rates in Open Appendectomy. Arch Surg. 2009 Sep; 144(9): 872-875.

Inthisstudytheuseofbarrierwoundprotectioninelectiveopencolorectalresection alsurgery resultedinaclinicallysignificantreductioninincisionalsurgicalsiteinfections .” ... “Therewasasignificantreductionintheincidenceofincisionalsurgicalsiteinfecti onswhenthe woundprotectorwasused:3of64(4.7%)vs15of66(22.7%).” Reid K., et al. BarrierWound Protection Decreases Surgical Site Infection in Open Elective Colorectal Surgery: A Randomized ClinicalTrial. Dis Colon Rectum. 2010 Oct; 53(10): 1374-1380.

Thewoundinfectionrateofthe[leftupperquadrant]trocarsitewassignificantlydec reased whenutilizingthewoundretractor(18%to0%).” Nunn A., et al.

A Novel Approach to PreventingWound Infections in Laparoscopic Roux-En-Y Gastric Bypass Patients. SAGES Poster Session 2008. “Wefoundthatthewoundretractor/protectorpreventedtheincisionsitefromdrying, decreasedtissuedamage,andfacilitatedthemigrationofneutrophils,suggestingapr eventive effectofthedevicewithrespecttowoundinfection.” ... “The studied wound retractor/protector effectively protects wound tissue from damage due to environmental factors experienced during surgery.” HoriuchiT., et al. A wound retractor/protector can prevent infection by keeping tissue moist and preventing tissue damage at incision sites.

Helix Review Series: Infectious Diseases. 2007; 3: 17-23.

Theresultsofthisstudydemonstratethatwoundinfectiondecreasedsignificantlyin the WithAlexisretractorgroup.” ... “ItwassuggestedthattheuseoftheAlexiswoundretractorwouldprotectsurgicalwound s fromcontaminationbybacteriaandthuspreventinfection.” HoriuchiT., et al. Randomized Controlled Investigation of the Anti-Infective Properties of the Alexis Retractor/Protector of Incision Sites. JTrauma. 2007 Jan; 62(1): 212-215. Clinical Evidence “Only the use of a wound protector was found to significantly reduce the risk of wound infections in an adjusted analysis.” Lee K.-W., et al. Use of an Upper Midline Incision for Living Donor Partial Hepatectomy: A Series of 143 Consecutive Cases.

Liver Transpl. 2011 Aug; 17(8): 969-975.

Supporting the use of the Alexis® wound protector/retractor “SuperficialincisionalSSIwassignificantlydiminishedintheALEXISwoundretracto rgroup (P=0.006).” ... “The ALEXIS wound retractor is more effective in preventing SSI in elective colorectal resections compared with conventional methods.” Cheng K. P., et al. ALEXIS O-Ring wound retractor vs conventional wound protection for the prevention of surgical site infections in colorectal resections. Colorectal Dis. 2012 Jun; 14(6): 346-351.

[E]ntericorganismswereculturedtwiceasoftenfromtheinsidesurfaceoftheretract or comparedwiththeoutsidesurfaceoftheretractor(49%vs26%,respectively;P

http://contact.appliedmedical.com/ Provides 360o Atraumatic Circumferential Retraction · Distributes force evenly for optimal field of view · Allows for maximum exposure with a minimum incision size · Provides unparalleled exposure without trauma associated with prolonged point retraction Provides 360o Protection · Maintains moisture at the incision site · Allows visualization of wound margins Offers Ultimate Versatility · Multiple sizes accommodate a wide range of surgeries · Unique design facilitates rapid and effortless setup IS ALEXIS® PART OF YOUR STANDARD OF CARE? BRAND Reid, et al. 1 Lee, et al.

2 Horiuchi, et al. 3 Alexis Wound Protector/Retractor Standard Retractors 4.69% (3/64) 79% RRR* P = 0.004 89% RRR* 100% RRR* 1.6% (1/61) 0% (0/111) P = 0.02 P = 0.0021 22.7% (15/66) 14.6% (7/48) 8.1% (9/110) Rate of Superficial Incisional SSI 1. Reid K., et al. Barrier Wound Protection Decreases Surgical Site Infection in Open Elective Colorectal Surgery: A Randomized Clinical Trial. Dis Colon Rectum. 2010 Oct; 53(10): 1374-1380. 2. Lee P., et al. Use of Wound-Protection System and Postoperative Wound-Infection Rates in Open Appendectomy. Arch Surg. 2009 Sep; 144(9): 872-875. 3. Horiuchi T., et al.

Randomized Controlled Investigation of the Anti-Infective Properties of the Alexis Retractor/Protector of Incision Sites. J Trauma. 2007 Jan; 62(1): 212-215. *RRR (relative risk reduction) was defined as the proportion of the control group (standard retractors) experiencing a given outcome minus the proportion of the treatment group (Alexis protector) experiencing the outcome, divided by the proportion of the control group (standard retractors) experiencing the outcome. Procedural Applications OB/GYN PostpartumTubal Ligation (XXS, XS) Bilateral Salpingo Oophorectomy (XS, S) Lap Hysterectomy (S, M Laparoscopic System) Mini-Laparotomy (S, M) Myomectomy (S, M) Total Abdominal Hysterectomy (S, M, L) Cesarean Section (L, XL) CARDIOTHORACIC Video-Assisted Thoracoscopic Surgery (VATS) (XXS, XS, S) Mitral Valve Repair/Replacement (S, M) Thoracotomy (S, M) COLON & RECTAL Stoma Formation (XXS) Lap Colectomy (S, M Laparoscopic System) Open Colectomy (L, XL, XXL) ORTHOPAEDIC Total Shoulder Arthroplasty (S/S) Total Hip Arthroplasty (S/M, M/L) GENERAL Inguinal Hernia Repair (XS, S) Thyroidectomy (XS, S) Appendectomy (S, M) Splenectomy (L, XL) Pancreatectomy (L, XL) Whipple (XXL) © 2015 Applied Medical Resources Corporation.

All rights reserved. Applied Medical, the Applied Medical logo design and marks designated with a ® are trademarks of Applied Medical Resources Corporation, registered in one or more of the following countries: Australia, Canada, Japan, the United States and/or the European Union. SC01531K REORDER NO. SIZE QUANTITY Featuring a rigid retraction ring for superior exposure C8401 C8402 C8403 C8404 C8405 Small, 2.5 - 6cm Medium, 5 - 9cm Large, 9 - 14cm X-Large, 11 - 17cm XX-Large, 17 - 25cm 5/BOX 5/BOX 5/BOX 5/BOX 5/BOX Alexis® O Wound Protector/Retractor REORDER NO. SIZE QUANTITY Featuring a flexible retraction ring for maximum comformity C8313 C8323 C8312 C8322 C8301 C8302 C8303 C8304 XX-Small, 1 - 3cm XX-Small, Short, 1 - 3cm X-Small, 2 - 4cm X-Small, Short, 2 - 4cm Small, 2.5 - 6cm Medium, 5 - 9cm Large, 9 - 14cm X-Large, 11 - 17cm 5/BOX 5/BOX 5/BOX 5/BOX 5/BOX 5/BOX 5/BOX 5/BOX Alexis Wound Protector/Retractor REORDER NO.

SIZE QUANTITY C8701 C8702 Small, 2.5 - 6cm Medium, 5 - 9cm 5/BOX 5/BOX Alexis Laparoscopic System with Kii® Fios® First Entry REORDER NO. SIZE QUANTITY G6313 G6314 Large, 9 - 14cm X-Large, 11 - 17cm 5/BOX 5/BOX Alexis O C-Section Retractor REORDER NO. SIZE QUANTITY HR001 HR004 HR005 Small/Small, 2.5 - 8cm Small/Medium, 2.5 - 8cm Medium/Large, 5 - 13cm 5/BOX 5/BOX 5/BOX Alexis Orthopaedic Protector For more information www.appliedmedical.com/alexis BREAST Lumpectomy (XS, S) Mastectomy (S, M) Sentinel Lymph Node Biopsy (XXS, XS, S) BARIATRIC Lap Sleeve Gastrectomy (XXS) Lap Gastric Bypass (XS, S) Open Gastric Bypass (L, XL)

http://contact.appliedmedical.com/ Provides 360o Atraumatic Circumferential Retraction · Distributes force evenly for optimal field of view · Allows for maximum exposure with a minimum incision size · Provides unparalleled exposure without trauma associated with prolonged point retraction Provides 360o Protection · Maintains moisture at the incision site · Allows visualization of wound margins Offers Ultimate Versatility · Multiple sizes accommodate a wide range of surgeries · Unique design facilitates rapid and effortless setup IS ALEXIS® PART OF YOUR STANDARD OF CARE? BRAND Reid, et al. 1 Lee, et al.

2 Horiuchi, et al. 3 Alexis Wound Protector/Retractor Standard Retractors 4.69% (3/64) 79% RRR* P = 0.004 89% RRR* 100% RRR* 1.6% (1/61) 0% (0/111) P = 0.02 P = 0.0021 22.7% (15/66) 14.6% (7/48) 8.1% (9/110) Rate of Superficial Incisional SSI 1. Reid K., et al. Barrier Wound Protection Decreases Surgical Site Infection in Open Elective Colorectal Surgery: A Randomized Clinical Trial. Dis Colon Rectum. 2010 Oct; 53(10): 1374-1380. 2. Lee P., et al. Use of Wound-Protection System and Postoperative Wound-Infection Rates in Open Appendectomy. Arch Surg. 2009 Sep; 144(9): 872-875. 3. Horiuchi T., et al.

Randomized Controlled Investigation of the Anti-Infective Properties of the Alexis Retractor/Protector of Incision Sites. J Trauma. 2007 Jan; 62(1): 212-215. *RRR (relative risk reduction) was defined as the proportion of the control group (standard retractors) experiencing a given outcome minus the proportion of the treatment group (Alexis protector) experiencing the outcome, divided by the proportion of the control group (standard retractors) experiencing the outcome. Procedural Applications OB/GYN PostpartumTubal Ligation (XXS, XS) Bilateral Salpingo Oophorectomy (XS, S) Lap Hysterectomy (S, M Laparoscopic System) Mini-Laparotomy (S, M) Myomectomy (S, M) Total Abdominal Hysterectomy (S, M, L) Cesarean Section (L, XL) CARDIOTHORACIC Video-Assisted Thoracoscopic Surgery (VATS) (XXS, XS, S) Mitral Valve Repair/Replacement (S, M) Thoracotomy (S, M) COLON & RECTAL Stoma Formation (XXS) Lap Colectomy (S, M Laparoscopic System) Open Colectomy (L, XL, XXL) ORTHOPAEDIC Total Shoulder Arthroplasty (S/S) Total Hip Arthroplasty (S/M, M/L) GENERAL Inguinal Hernia Repair (XS, S) Thyroidectomy (XS, S) Appendectomy (S, M) Splenectomy (L, XL) Pancreatectomy (L, XL) Whipple (XXL) © 2015 Applied Medical Resources Corporation.

All rights reserved. Applied Medical, the Applied Medical logo design and marks designated with a ® are trademarks of Applied Medical Resources Corporation, registered in one or more of the following countries: Australia, Canada, Japan, the United States and/or the European Union. SC01531K REORDER NO. SIZE QUANTITY Featuring a rigid retraction ring for superior exposure C8401 C8402 C8403 C8404 C8405 Small, 2.5 - 6cm Medium, 5 - 9cm Large, 9 - 14cm X-Large, 11 - 17cm XX-Large, 17 - 25cm 5/BOX 5/BOX 5/BOX 5/BOX 5/BOX Alexis® O Wound Protector/Retractor REORDER NO. SIZE QUANTITY Featuring a flexible retraction ring for maximum comformity C8313 C8323 C8312 C8322 C8301 C8302 C8303 C8304 XX-Small, 1 - 3cm XX-Small, Short, 1 - 3cm X-Small, 2 - 4cm X-Small, Short, 2 - 4cm Small, 2.5 - 6cm Medium, 5 - 9cm Large, 9 - 14cm X-Large, 11 - 17cm 5/BOX 5/BOX 5/BOX 5/BOX 5/BOX 5/BOX 5/BOX 5/BOX Alexis Wound Protector/Retractor REORDER NO.

SIZE QUANTITY C8701 C8702 Small, 2.5 - 6cm Medium, 5 - 9cm 5/BOX 5/BOX Alexis Laparoscopic System with Kii® Fios® First Entry REORDER NO. SIZE QUANTITY G6313 G6314 Large, 9 - 14cm X-Large, 11 - 17cm 5/BOX 5/BOX Alexis O C-Section Retractor REORDER NO. SIZE QUANTITY HR001 HR004 HR005 Small/Small, 2.5 - 8cm Small/Medium, 2.5 - 8cm Medium/Large, 5 - 13cm 5/BOX 5/BOX 5/BOX Alexis Orthopaedic Protector For more information www.appliedmedical.com/alexis BREAST Lumpectomy (XS, S) Mastectomy (S, M) Sentinel Lymph Node Biopsy (XXS, XS, S) BARIATRIC Lap Sleeve Gastrectomy (XXS) Lap Gastric Bypass (XS, S) Open Gastric Bypass (L, XL)

http://contact.appliedmedical.com/ Provides 360o Atraumatic Circumferential Retraction · Distributes force evenly for optimal field of view · Allows for maximum exposure with a minimum incision size · Provides unparalleled exposure without trauma associated with prolonged point retraction Provides 360o Protection · Maintains moisture at the incision site · Allows visualization of wound margins Offers Ultimate Versatility · Multiple sizes accommodate a wide range of surgeries · Unique design facilitates rapid and effortless setup IS ALEXIS® PART OF YOUR STANDARD OF CARE? BRAND Reid, et al. 1 Lee, et al.

2 Horiuchi, et al. 3 Alexis Wound Protector/Retractor Standard Retractors 4.69% (3/64) 79% RRR* P = 0.004 89% RRR* 100% RRR* 1.6% (1/61) 0% (0/111) P = 0.02 P = 0.0021 22.7% (15/66) 14.6% (7/48) 8.1% (9/110) Rate of Superficial Incisional SSI 1. Reid K., et al. Barrier Wound Protection Decreases Surgical Site Infection in Open Elective Colorectal Surgery: A Randomized Clinical Trial. Dis Colon Rectum. 2010 Oct; 53(10): 1374-1380. 2. Lee P., et al. Use of Wound-Protection System and Postoperative Wound-Infection Rates in Open Appendectomy. Arch Surg. 2009 Sep; 144(9): 872-875. 3. Horiuchi T., et al.

Randomized Controlled Investigation of the Anti-Infective Properties of the Alexis Retractor/Protector of Incision Sites. J Trauma. 2007 Jan; 62(1): 212-215. *RRR (relative risk reduction) was defined as the proportion of the control group (standard retractors) experiencing a given outcome minus the proportion of the treatment group (Alexis protector) experiencing the outcome, divided by the proportion of the control group (standard retractors) experiencing the outcome. Procedural Applications OB/GYN PostpartumTubal Ligation (XXS, XS) Bilateral Salpingo Oophorectomy (XS, S) Lap Hysterectomy (S, M Laparoscopic System) Mini-Laparotomy (S, M) Myomectomy (S, M) Total Abdominal Hysterectomy (S, M, L) Cesarean Section (L, XL) CARDIOTHORACIC Video-Assisted Thoracoscopic Surgery (VATS) (XXS, XS, S) Mitral Valve Repair/Replacement (S, M) Thoracotomy (S, M) COLON & RECTAL Stoma Formation (XXS) Lap Colectomy (S, M Laparoscopic System) Open Colectomy (L, XL, XXL) ORTHOPAEDIC Total Shoulder Arthroplasty (S/S) Total Hip Arthroplasty (S/M, M/L) GENERAL Inguinal Hernia Repair (XS, S) Thyroidectomy (XS, S) Appendectomy (S, M) Splenectomy (L, XL) Pancreatectomy (L, XL) Whipple (XXL) © 2015 Applied Medical Resources Corporation.

All rights reserved. Applied Medical, the Applied Medical logo design and marks designated with a ® are trademarks of Applied Medical Resources Corporation, registered in one or more of the following countries: Australia, Canada, Japan, the United States and/or the European Union. SC01531K REORDER NO. SIZE QUANTITY Featuring a rigid retraction ring for superior exposure C8401 C8402 C8403 C8404 C8405 Small, 2.5 - 6cm Medium, 5 - 9cm Large, 9 - 14cm X-Large, 11 - 17cm XX-Large, 17 - 25cm 5/BOX 5/BOX 5/BOX 5/BOX 5/BOX Alexis® O Wound Protector/Retractor REORDER NO. SIZE QUANTITY Featuring a flexible retraction ring for maximum comformity C8313 C8323 C8312 C8322 C8301 C8302 C8303 C8304 XX-Small, 1 - 3cm XX-Small, Short, 1 - 3cm X-Small, 2 - 4cm X-Small, Short, 2 - 4cm Small, 2.5 - 6cm Medium, 5 - 9cm Large, 9 - 14cm X-Large, 11 - 17cm 5/BOX 5/BOX 5/BOX 5/BOX 5/BOX 5/BOX 5/BOX 5/BOX Alexis Wound Protector/Retractor REORDER NO.

SIZE QUANTITY C8701 C8702 Small, 2.5 - 6cm Medium, 5 - 9cm 5/BOX 5/BOX Alexis Laparoscopic System with Kii® Fios® First Entry REORDER NO. SIZE QUANTITY G6313 G6314 Large, 9 - 14cm X-Large, 11 - 17cm 5/BOX 5/BOX Alexis O C-Section Retractor REORDER NO. SIZE QUANTITY HR001 HR004 HR005 Small/Small, 2.5 - 8cm Small/Medium, 2.5 - 8cm Medium/Large, 5 - 13cm 5/BOX 5/BOX 5/BOX Alexis Orthopaedic Protector For more information www.appliedmedical.com/alexis BREAST Lumpectomy (XS, S) Mastectomy (S, M) Sentinel Lymph Node Biopsy (XXS, XS, S) BARIATRIC Lap Sleeve Gastrectomy (XXS) Lap Gastric Bypass (XS, S) Open Gastric Bypass (L, XL)

Visit www.stopwoundinfection.com to learn more about surgical site infection prevention. Alexis® Wound Protectors/Retractors 360o Wound Protection 360o Atraumatic Retraction
Maximizes exposure, minimizes incision size
Offers ultimate versatility “Our data demonstrate that a statistically significant reduction in the incidence of wound infection was achieved with the use of a wound-protection device. This device provides a simple intervention that may eventually have a large impact on the incidence of surgical wound infection and therefore annual health care expenditures.” Lee P., et al.

Use ofWound-Protection System and PostoperativeWound-Infection Rates in Open Appendectomy. Arch Surg. 2009 Sep; 144(9): 872-875.

Inthisstudytheuseofbarrierwoundprotectioninelectiveopencolorectalresection alsurgery resultedinaclinicallysignificantreductioninincisionalsurgicalsiteinfections .” ... “Therewasasignificantreductionintheincidenceofincisionalsurgicalsiteinfecti onswhenthe woundprotectorwasused:3of64(4.7%)vs15of66(22.7%).” Reid K., et al. BarrierWound Protection Decreases Surgical Site Infection in Open Elective Colorectal Surgery: A Randomized ClinicalTrial. Dis Colon Rectum. 2010 Oct; 53(10): 1374-1380.

Thewoundinfectionrateofthe[leftupperquadrant]trocarsitewassignificantlydec reased whenutilizingthewoundretractor(18%to0%).” Nunn A., et al.

A Novel Approach to PreventingWound Infections in Laparoscopic Roux-En-Y Gastric Bypass Patients. SAGES Poster Session 2008. “Wefoundthatthewoundretractor/protectorpreventedtheincisionsitefromdrying, decreasedtissuedamage,andfacilitatedthemigrationofneutrophils,suggestingapr eventive effectofthedevicewithrespecttowoundinfection.” ... “The studied wound retractor/protector effectively protects wound tissue from damage due to environmental factors experienced during surgery.” HoriuchiT., et al. A wound retractor/protector can prevent infection by keeping tissue moist and preventing tissue damage at incision sites.

Helix Review Series: Infectious Diseases. 2007; 3: 17-23.

Theresultsofthisstudydemonstratethatwoundinfectiondecreasedsignificantlyin the WithAlexisretractorgroup.” ... “ItwassuggestedthattheuseoftheAlexiswoundretractorwouldprotectsurgicalwound s fromcontaminationbybacteriaandthuspreventinfection.” HoriuchiT., et al. Randomized Controlled Investigation of the Anti-Infective Properties of the Alexis Retractor/Protector of Incision Sites. JTrauma. 2007 Jan; 62(1): 212-215. Clinical Evidence “Only the use of a wound protector was found to significantly reduce the risk of wound infections in an adjusted analysis.” Lee K.-W., et al. Use of an Upper Midline Incision for Living Donor Partial Hepatectomy: A Series of 143 Consecutive Cases.

Liver Transpl. 2011 Aug; 17(8): 969-975.

Supporting the use of the Alexis® wound protector/retractor “SuperficialincisionalSSIwassignificantlydiminishedintheALEXISwoundretracto rgroup (P=0.006).” ... “The ALEXIS wound retractor is more effective in preventing SSI in elective colorectal resections compared with conventional methods.” Cheng K. P., et al. ALEXIS O-Ring wound retractor vs conventional wound protection for the prevention of surgical site infections in colorectal resections. Colorectal Dis. 2012 Jun; 14(6): 346-351.

[E]ntericorganismswereculturedtwiceasoftenfromtheinsidesurfaceoftheretract or comparedwiththeoutsidesurfaceoftheretractor(49%vs26%,respectively;P

Visit www.stopwoundinfection.com to learn more about surgical site infection prevention. Alexis® Wound Protectors/Retractors 360o Wound Protection 360o Atraumatic Retraction
Maximizes exposure, minimizes incision size
Offers ultimate versatility “Our data demonstrate that a statistically significant reduction in the incidence of wound infection was achieved with the use of a wound-protection device. This device provides a simple intervention that may eventually have a large impact on the incidence of surgical wound infection and therefore annual health care expenditures.” Lee P., et al.

Use ofWound-Protection System and PostoperativeWound-Infection Rates in Open Appendectomy. Arch Surg. 2009 Sep; 144(9): 872-875.

Inthisstudytheuseofbarrierwoundprotectioninelectiveopencolorectalresection alsurgery resultedinaclinicallysignificantreductioninincisionalsurgicalsiteinfections .” ... “Therewasasignificantreductionintheincidenceofincisionalsurgicalsiteinfecti onswhenthe woundprotectorwasused:3of64(4.7%)vs15of66(22.7%).” Reid K., et al. BarrierWound Protection Decreases Surgical Site Infection in Open Elective Colorectal Surgery: A Randomized ClinicalTrial. Dis Colon Rectum. 2010 Oct; 53(10): 1374-1380.

Thewoundinfectionrateofthe[leftupperquadrant]trocarsitewassignificantlydec reased whenutilizingthewoundretractor(18%to0%).” Nunn A., et al.

A Novel Approach to PreventingWound Infections in Laparoscopic Roux-En-Y Gastric Bypass Patients. SAGES Poster Session 2008. “Wefoundthatthewoundretractor/protectorpreventedtheincisionsitefromdrying, decreasedtissuedamage,andfacilitatedthemigrationofneutrophils,suggestingapr eventive effectofthedevicewithrespecttowoundinfection.” ... “The studied wound retractor/protector effectively protects wound tissue from damage due to environmental factors experienced during surgery.” HoriuchiT., et al. A wound retractor/protector can prevent infection by keeping tissue moist and preventing tissue damage at incision sites.

Helix Review Series: Infectious Diseases. 2007; 3: 17-23.

Theresultsofthisstudydemonstratethatwoundinfectiondecreasedsignificantlyin the WithAlexisretractorgroup.” ... “ItwassuggestedthattheuseoftheAlexiswoundretractorwouldprotectsurgicalwound s fromcontaminationbybacteriaandthuspreventinfection.” HoriuchiT., et al. Randomized Controlled Investigation of the Anti-Infective Properties of the Alexis Retractor/Protector of Incision Sites. JTrauma. 2007 Jan; 62(1): 212-215. Clinical Evidence “Only the use of a wound protector was found to significantly reduce the risk of wound infections in an adjusted analysis.” Lee K.-W., et al. Use of an Upper Midline Incision for Living Donor Partial Hepatectomy: A Series of 143 Consecutive Cases.

Liver Transpl. 2011 Aug; 17(8): 969-975.

Supporting the use of the Alexis® wound protector/retractor “SuperficialincisionalSSIwassignificantlydiminishedintheALEXISwoundretracto rgroup (P=0.006).” ... “The ALEXIS wound retractor is more effective in preventing SSI in elective colorectal resections compared with conventional methods.” Cheng K. P., et al. ALEXIS O-Ring wound retractor vs conventional wound protection for the prevention of surgical site infections in colorectal resections. Colorectal Dis. 2012 Jun; 14(6): 346-351.

[E]ntericorganismswereculturedtwiceasoftenfromtheinsidesurfaceoftheretract or comparedwiththeoutsidesurfaceoftheretractor(49%vs26%,respectively;P