Giridharan, R (2020) Prospective study of Comparison of Use of Subcutaneous Drains to Prevent Wound Complications in Emergency Laprotomy Procedures. Masters thesis, Madurai Medical College, Madurai.
|
Text
220100320giridharan.pdf Download (3MB) | Preview |
Abstract
INTRODUCTION: Surgical Site Infection and wound healing are reported more commonly in abdominal surgeries.Wound dehiscence following SSI is a major concern.Subcutaneous negative suction drainage will reduce the incidence of SSI and wound dehiscence by draining of seroma which will promote wound healing. AIMS & OBJECTIVES: The aim of this study is to compare and check the effect of subcutaneous drains on the incidence of surgical site infections after emergency laprotomy procedure. METHODOLOGY: Total sample size of 60 patients within the inclusion criteria for a period of 12months were taken.Patients are followed for 15days after surgery and are divided into 2groups as Group A (study group): Emergency surgeries were done with subcutaneous drains. Group B (control group): Emergency surgeries were done without subcutaneous drains. Central randomization were performed. RESULTS: Data were analyzed using SPSS Version 17.0 software version. Descriptive statistics were performed; Categorical data were presented as percentage and frequency. Continuous data was analysed to assess normality using Shapiro wilks test. Based on the distribution of the data, Mann whitney U test was used for intergroup comparison of continuous variables. Categorical data were analysed using Chisquare test or Fisher’s exact test. Incidence of SSI in 5 cases (16.70%) in GROUP A are detected 3(10.0%)cases at POD 2 & 2(6.7%) cases at POD 3. In GROUP B 24 cases (80.00%) were developed with SSI, 10 cases (33.3%) at POD 3, 12 cases (40.0%) at POD 4, 2 cases (6.7%) at POD 5. CONCLUSION: Surgical site infection is commonly due to abdominal cavity infection rather than nasocomical infection. Subcutaneous suction drainage tube is an effective method of abdominal wall closure in cases of peritonitis when compared to conventional primary skin closure without drain as it significantly reduces the incidence of wound infection, dehiscence, wound secondary suturing and duration of hospital stay in SSI.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | wound dehiscence, Surgical Site Infection, seroma, Subcutaneous negative suction drainage, wound healing. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 10 Feb 2021 01:06 |
| Last Modified: | 10 Feb 2021 01:06 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/13963 |
Actions (login required)
 |
View Item |
