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INTERNATIONAL JOURNAL OF SCIENTIFIC DEVELOPMENT AND RESEARCH International Peer Reviewed & Refereed Journals, Open Access Journal ISSN Approved Journal No: 2455-2631 | Impact factor: 8.15 | ESTD Year: 2016 open access , Peer-reviewed, and Refereed Journals, Impact factor 8.15 |
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| Paper Title: | TO STUDY THE OUTCOME OF EMERGENCY LAPAROTOMY WOUND WITH SUBCUTANEOUS NEGATIVE PRESSURE SUCTON DRAIN |
| Authors Name: | DR PRIYANKA MAHESHWAR , DR RAJENDRA RATRE , DR SAUMITRA DUBE , DR AMIT AGRAWAL |
| Unique Id: | IJSDR2305212 |
| Published In: | Volume 8 Issue 5, May-2023 |
| Abstract: | BACKGROUND: Surgical site infection is one of the most common post- operative wound complication associated with open abdominal surgery and is related to increased morbidity , mortality and health care cost of the patients. Mainly Surgical wound infection occurs within first week of surgery. Compared to Elective laparotomy, emergency laparotomies have a disproportionately high risk of Surgical site infections. The aim of present study was to study the outcome of surgical wound using negative pressure suction drain placed in subcutaneous plane during emergency laparotomy. METHODS: This prospective observational study was carried out in Dr. BRAM Hospital, Raipur over a period of one year. This study was conducted in 111 patients who underwent emergency laparotomy procedures and having subcutaneous negative pressure suction drain and fulfilling the inclusion criteria were included. Appropriate antibiotics was given to each patients. Patients were followed up on 3, 5,7,10 post- operative days and wound was examined and graded according to Sauthampton wound grading system. Suction drain was removed when the output was less than 10 ml for two consecutive days. All patients were studied in terms of surgical site infection and duration of hospital stay. RESULT: 23 patients out of 111 patients developed surgical site infection. Out of which 2 patients had grade-1 infection, 5 patients had grade-2, 13 patients had grade-3, 3 patients had grade-4 infection. No patients developed grade-5 infection. In this study, it was observed that patients with raised BMI, having diabetes and in patients whom surgery was completed in 4 hours had more infection. Out of 19 overweight patients(BMI 25-29), 15 patients (78.9%) developed surgical site infection . out of diabetic 10 patients, 7 patient (70%) developed surgical site infection. Out of 11 patients in whom surgery was completed in 4 hours , 7 patients (63.6%) developed surgical site infections. Mean duration of post – operative stay was 8.4+/- 2 days. Out of 111 patients, 98 patients stayed for 6-10 days. CONCLUSION: Subcutaneous negative suction drain prevents post-operative surgical site infection significantly and also reduces post-operative hospital stay. So, it is highly recommended in all patients undergoing laparotomy surgeries. Keywords : Subcutaneous suction drain, Surgical site infection, Emergency laparotomy |
| Keywords: | Subcutaneous suction drain, Surgical site infection, Emergency laparotomy |
| Cite Article: | "TO STUDY THE OUTCOME OF EMERGENCY LAPAROTOMY WOUND WITH SUBCUTANEOUS NEGATIVE PRESSURE SUCTON DRAIN", International Journal of Science & Engineering Development Research (www.ijsdr.org), ISSN:2455-2631, Vol.8, Issue 5, page no.1319 - 1329, May-2023, Available :http://www.ijsdr.org/papers/IJSDR2305212.pdf |
| Downloads: | 000337211 |
| Publication Details: | Published Paper ID: IJSDR2305212 Registration ID:206385 Published In: Volume 8 Issue 5, May-2023 DOI (Digital Object Identifier): Page No: 1319 - 1329 Publisher: IJSDR | www.ijsdr.org ISSN Number: 2455-2631 |
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