Naveen Kumar, V (2020) Predictors and Evaluation of Surgical Wound Complications in Elective Abdominal Surgeries. Masters thesis, Madras Medical College, Chennai.
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Abstract
INTRODUCTION: Surgical wound infection is a common cause of concern for a surgeon. The goal of an operative procedure is an early and complication free recovery. Post-operative pain, nausea, vomiting are common but some patients develop short and long term complications like fever, wound infection, wound dehiscence, anastomosis disruption, adhesive bowel obstruction, incisional hernia, etc. such complications are more frequently seen after emergency surgeries, but they do occur in elective procedures also, which is a matter of concern. Wound infection, wound dehiscence and incisional hernia remain challenging problems. Preoperative antibiotic prophylaxis, effective and persistent skin antisepsis, avoidance of contamination and better surgical skills are most effective methods to reduce complications. Depending on operative conditions, wound infection rates vary from 2.8% to 40%. AIM AND OBJECTIVES: To analyze various factors that may predict the surgical wound complication following elective abdominal surgeries and to evaluate the occurrence of various surgical wound complications. METHODOLOGY: For the study, demographic details of patients, results of investigations and details of surgical procedures were documented. Patients were followed up during postoperative period and at monthly interval for 6 months. Occurrence of complications like wound discharge, sinus, fistula, wound dehiscence and incisional hernia was noted. If pus was present, it is subjected to culture and sensitivity. All the above collected data will be analyzed and conclusions will be derived through statistical analysis using Mann-Whitney U test for continuous variables and Chi-square test for categoric variables. Patients will be called up one month after discharge and follow up will be done. RESULTS: Overall the complications occurred in 19 patients out of 120 patients who were followed for 6 months. This constituted a rate of 15.83% and all complications were infection of wound site and were superficial SSIs. The most common complication was seroma formation postoperatively which was sent for pus culture and sensitivity and results were evaluated. All 19 patients developed seroma from day 2 and it was more on day 3. One patient developed incisional hernia on POD 30 and one more developed burst abdomen on POD 10. Preoperatively hemoglobin and albumin had found to be a good predictor of wound complication. Preoperative serum urea and creatinine had no role in predicting wound complication after surgery. Hernioplasty had relatively high rate of infection.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 221711012 |
| Uncontrolled Keywords: | Predictors, Evaluation, Surgical Wound Complications, Elective Abdominal Surgeries. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 09 Feb 2021 00:25 |
| Last Modified: | 09 Feb 2021 00:25 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/13931 |
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