Prospective Randomised Study Comparing the Patients with Midline Incision Closed with Subcutaneous Drain and without a Drain
Abstract: Background: Infection of a wound can be defined as the invasion of organisms through tissues following a breakdown of local and systemic host defenses, leading to cellulitis, lymphangitis, abscess and bacteraemia. Surgical site infection (SSI) has always been a major complication of surgery and trauma and has been documented for 4000-5000 years. Patients requiring Emergency laparotomy procedure has increased risk ofsurgical site infection and delayed wound healing. Wound dehiscence is difficult to manage as re closure frequently leads to respiratory compromise and hypoxia. If left open, there is increased risk of nosocomial infection in the wound. There are number of methods have been used to reduce these complications from time to time. Objective: To study the benefit of subcutaneous drain in midline laparotomy wound healing. Material and Method: The study was conducted in the General surgery department of Sarojini naidu Medical College & hospital, Agra after obtaining Institutional Ethics Committee approval. Study Period: October 2020 ? October 2022. Source of Data: All patients undergoing emergency laparotomy procedure at Sarojini Naidu Medical College, Agra. Sample Size: 100 patients, 50 in each group. Sample size group 1 = 50. Sample size group 2 = 50. Total sample size = 100. Actual power = 0.8046047. Study Design: A randomized control study. Study Population: All patients undergoing emergency laparotomy procedure, who fulfilled the inclusion criteria were selected for the study. The procedure was explained to them in detail and written consent was obtained. Inclusion Criteria: Patient undergoing emergency laparotomy with midline incision. Patient aged between 20-59 years of both sex patient with BMI >31 females and males. Exclusion Criteria: Patients age60 years. Patients who are previously operated. Patient refusal. Patients who are immunocompromised. Patients with Diabetes mellitus, Patients with jaundice, Patients with anaemic Hb
Keywords: sub cutaneous drain, wound dehiscence, SSI, hospital stay
How to Cite?: Dr. Manish Rajput, Dr. J P S Shakya, Dr. Prashant Gupta, "Prospective Randomised Study Comparing the Patients with Midline Incision Closed with Subcutaneous Drain and without a Drain", Volume 12 Issue 2, February 2023, International Journal of Science and Research (IJSR), Pages: 1299-1302, https://www.ijsr.net/getabstract.php?paperid=MR23220141351, DOI: https://dx.doi.org/10.21275/MR23220141351