Aarthy, B (2023) Evaluation of the Use of Subcutaneous Drains to Prevent Wound Complications in Emergency Laparotomy Surgeries. Masters thesis, Madras Medical College, Chennai.
Full text not available from this repository.Abstract
INTRODUCTION: Surgical site infection is defined as wound infection following an invasive procedure. Inspite of advances in dressing and management of post operative patient this remains a substantial risk and main reason for prolonged hospitalization of postoperative patients. SSI previously termed postoperative wound infection is defined as that infection presenting up to 30 days after a surgical procedure if no prosthetic is placed and up to one year if a prosthetic is implanted in the patients. The overall infection rate increases in cases of colorectal surgery and also in emergency surgeries. Factors contributing to this are diverse. Laparotomies carry a higher risk of wound infection and a combined rate of 15% has been reported in upper and lower gastrointestinal surgery, over three times the average risk. OBJECTIVES: 1. To compare the effectiveness of subcutaneous negative suction drainage tube and conventional abdominal wall closure with regard to surgical site infection and wound dehiscence. 2. To compare need for secondary suturing. 3. To compare the duration of hospital stay in 2 groups. METHODS: All patients undergoing emergency laparotomy surgeries in view of peritonitis in the Institute of general surgery, Age more than 18 years, Subcutaneous fat more than 1.5 cm were included in the study. - Patients fulfilling inclusion criteria. - Patients are divided into two Groups: ● Group A- 35 patients underwent Conventional abdominal wall closure. ● Group B – 35 patients had suction drains inserted in the subcutaneous tissue. - Incidence of Surgical site infections and wound dehiscence, need of secondary suturing, length of hospital stay in both groups were assessed. RESULTS: In this study there is no statistical significance between both the groups in view of surgical site infection and wound dehiscence (P values are >0.05 : 0.205, 0.568). CONCLUSION: Previous studies shows that Subcutaneous suction drainage tube is an effective method of abdominal wall closure in cases of peritonitis when compared to conventional primary skin closure as it significantly reduces the incidence of wound infection, dehiscence, wound secondary suturing and duration of hospital stay in SSI. But In our study placement of subcutaneous drains doesn’t reduced the rate of SSI significantly and infection rate was similar to patients without drains. However results may vary if more patients are included in study hence large scale studies are required.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 220120100501 |
| Uncontrolled Keywords: | Subcutaneous Drains, Prevention, Wound Complications, Emergency Laparotomy Surgeries. |
| Subjects: | MEDICAL > General Surgery > MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 15 Jan 2024 01:30 |
| Last Modified: | 19 Jan 2024 15:28 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/21291 |
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