Introduction: Wound dehiscence occurs when a surgical incision reopens either internally or externally. It's also known simply as dehiscence. Although this complication can occur after any surgery, it tends to happen most often following abdominal or cardiothoracic procedures. It's commonly associated with a surgical site infection. Complications may involve a hematoma formation due to poor hemostatic control. Material & Methods: This is a prospective study was conducted in the Department of General Surgery at Prathima Institute of Medical Sciences over a period of 1 year. All the patients who were admitted as In patients for surgical treatment for various diseases in the department of General Surgery, total of 100 patients were enrolled. A total of 140 patients who were satisfying the inclusion criteria were enrolled into study. 70 patients underwent skin closure with silk and remaining 70 with prolene. Result: In our study most of the patient were male in both the group. In our study in both the group maximum patients had diagnosis of Inguinal hernia and least were Duodenal peroration. Surgical site infection or wound infection were 76.93% in silk group and in prolene group were 100%. Moreover, acute wound dehiscence seen only in Silk group. In silk group 22.8% complication were present and in Prolene group only 8.5% were present. Conclusion: Wound infection is a great hazard in abdominal skin closure as it can lead to disastrous complications. Preventing wound infection is necessary as it may lead not only to an ugly scar but also occurrence and recurrence of hernia. The present study concluded that type of suture material is associated with post-operative surgical wound complications with P value of 0.03.
Introduction: Laparoscopy has revolutionised Surgery with its widespread acceptance as predominantly minimally invasive to intraabdominal surgical procedures. Laparoscopy is the art of examining the abdominal cavity and its contents. It requires insertion of a cannula through the abdominal wall, distention of the abdominal cavity with gas or air (pneumoperitoneum), and visualization and examination of the abdomen's contents with an illuminated telescope. Material and Methods: This is a prospective and observational study conducted in the Department of General Surgery at Prathima Institute of Medical Sciences over a period of 1 year. All the cases who underwent laparoscopic tubal ligation procedure during this time were taken into account. The traditional technique of Veress Needle entry (Group A) and Direct trocar entry (Group B). Inclusion Criteria: Patients which are posted for planned laproscopic surgeries irrespective of age and sex. Exclusion Criteria: Emergency surgeries. ▪ Patients having abdominal scars crossing umbilicus. ▪ Immunocompromised patients ▪ Seropositive patients. Result: In our present study, a total of 90 patients were included in both the groups out of which 21 (23.4%) were males and 69 (76.6%) were females in Group A and in Group B: 19 (21.1%) were males and 71 (78.9%) were females. The mean time taken to create Pneumoperitoneum in case of Veress Needle entry was 4 min 01 sec, of which maximum was 7 min 10 sec and minimum was only 3 min 05 sec. The mean time taken to create Pneumoperitoneum in case of Direct trocar entry was 1 min 43 sec, of which maximum was 3 min 20 sec and minimum was 1 min 15 sec. Complications arising during procedures were identified and recorded. Group A patients 6 patients witnessed omental emphysema was commonest complication followed by 5 patients preperitoneal insufflation while as the most common complication in group B was omental emphysema in 2 patients. Conclusion: Direct Trocar entry is a safe alternative to the Veress needle entry technique for the creation of pneumoperitoneum. One of the main advantages of this technique is the reduced number of the blind insertions required to gain abdominal access. Other benefits are rapid creation of pneumoperitoneum, less gas use and decreased operating time. In laparoscopic surgeries, it is a more reliable and less timeconsuming method.
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