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A Study of Close Suction Drain Closure in Laparotomy Wound of Intestinal Perforation

Abhishek Kumar Singh, Tanvi Vijay, Abhishek Bhushan, Shivendra Kumar Singh, Prithviraj Vivek Patil, Shilpi Shree

Abstract


The most common complication after emergency laparotomy is infection in subcutaneous portion of abdominal incision, sepsis within the peritoneal cavity or infection in both of these areas. The incidence of each is significantly multiplied wherever there has been a peritoneal contamination by bowel or inflammatory process is encountered during abdominal exploration. This prospective study was carried out at Dr. D. Y. Patil Medical Hospital, Pune for a period of 3 years from 2013–2016. A total of 100 patients undergoing emergency laparotomy for intestinal perforation aged 18–65 years were included and distributed in Group I and II consisting of 50 patients with subcutaneous closed suction drain and 50 cases without drain. Gynaecological procedures and caesarean sections, alongside other non-laparotomy abdominal incisions were excluded. In these high-risk cases, the overall incidence of surgical site infection (SSI) was 23%. The incidence of incisional SSI in these cases with and without the ROMO-VAC drainage system was 12% and 34%, respectively. Our results suggest that a subcutaneous closed suction drain is effective for preventing incisional SSI in patients who have undergone emergency operations for the intestinal perforation.

 

Keywords: Surgical site infection (SSI), closed suction drain, emergency laparotomy, intestinal perforation

Cite this Article

Singh AK, Vijay T, Bhushan A, et al. A Study of Close Suction Drain Closure in Laparotomy Wound of Intestinal Perforation. Research and Reviews: Journal of Surgery. 2016; 5(1): 7–12p.


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