Role of Negative Suction Subcutaneous Drains in Contaminated Abdominal Surgeries

Wani, Junaid Nabi; Bhat, Javaid Ahmad

doi:10.4172/2161-069x.1000587

Cited by 3 publications

(7 citation statements)

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“…8 Study by Wani JN et al also showed same results with rate of SSI in cases as 15.3% and 30% in controls with statistically significant p value-0.002. 9 In contrast, studies by Nasta et al and Manzoor et al reported that there was no use of subcutaneous suction drain in preventing surgical site infections. 10,11 In our study we observed that the mean duration of hospital stay was found to be 6.91±3.10 in cases and 10.61±5.93 days in controls.…”

Section: Discussionmentioning

confidence: 96%

“…Similar results were given by studies conducted by Wani et al where 12% of cases 45.3% of controls developed wound dehiscence with significant p value<0.001. 14 Khan et al study has shown that 14% of the patients with drain and 42% patients without drain reported wound dehiscence with significant p value-0.002. 15 Study by Alsafrani et al has contraindicated the above findings.…”

Section: Discussionmentioning

confidence: 96%

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Role of subcutaneous suction drain in reducing surgical site infection in emergency laparotomy

2022

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Background: Surgical site infection (SSI) is a major postoperative wound complications associated with open abdominal surgery and is related to increased morbidity, mortality and healthcare costs. A subcutaneous suction drain reduces the dead space in the subcutaneous tissue plane and thereby prevents accumulation of fluid and seroma formation. In this study we observed the role of subcutaneous drain in reducing SSI in emergency laparotomies.Methods: Prospective randomized comparative study comprising of 108 patients on the basis of inclusion and exclusion criteria. 54 patients were called cases in whom subcutaneous suction drain was placed and 54 patients were called controls in whom no drain was placed. Antibiotic prophylaxis was given to all patients. Surgical site infection (SSI) was diagnosed and graded using Southampton wound grading system.Results: 24% of cases and 46% of controls developed SSI, 9% of cases and 33% of controls developed wound dehiscence and mean duration of hospital stay was 6days in cases and 10days in controls. All above parameters were statistically significant with p<0.05.Conclusions: Subcutaneous suction drain is effective in reducing surgical site infection (SSI), wound dehiscence and mean duration hospital stay in emergency laparotomies.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 96%

Role of subcutaneous suction drain in reducing surgical site infection in emergency laparotomy

2022

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“…Comparative randomized studies have convincingly shown that SCSD of laparotomy wounds resulted in remarkable reduction of wound seroma, infection and dehiscence (21) . Furthermore, the results of our study were in agreement with Sumi et al (23) , who showed that following laparotomy for colorectal perforations, a significant decresae in the incidence of ISSI was accomplish in patients with SCSD of the laparotomy wound (16.7%) compared with a rate of 56.5% in a control group without SCSD.…”

Section: Discussionmentioning

confidence: 99%

“…Among patients who were enrolled in this study, 27.8% developed ISSI. The current literature shows wide range of variability regarding the rates of laparotomy related ISSI (21)(22)(23)(24) . Thus, the rate of ISSI in our study was almost similar to study (25) and relatively close to others which reported ISSI rate of 22.6% (21) and 21% (22) .…”

Section: Discussionmentioning

confidence: 99%

“…The current literature shows wide range of variability regarding the rates of laparotomy related ISSI (21)(22)(23)(24) . Thus, the rate of ISSI in our study was almost similar to study (25) and relatively close to others which reported ISSI rate of 22.6% (21) and 21% (22) . However, our results were obviously lower than Sumi et al (23) (36.2%) and higher than Zaidi and co-workers (13.8%) (26) .…”

Section: Discussionmentioning

confidence: 99%

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Closure of Emergency Midline Laparotomy over Subcutaneous Closed Suction Drain to Mitigate Incisional Surgical Site Infection, Dehiscence and Hernia: A Prospective Comparative Study

El‐Badry¹,

Mahmoud²,

Ali³

2022

The Egyptian Journal of Hospital Medicine

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Background: The role of subcutaneous closed suction drainage (SCSD) during closure of emergency midline laparotomy (EML) for reduction of incisional surgical site infection (ISSI) remains debatable. Objective: The aim of the work was to investigate whether SCSD could minimize ISSI in the setting of emergency abdominal surgery. Patients and Methods: Adult patients with non-traumatic acute abdomen who underwent EML from June 2017 to January 2021 by single surgical team at Sohag University Hospital were prospectively enrolled. Patients were randomized according to EML incision closure technique into group A without SCSD and group B with closure of EML over SCSD. Both groups were compared regarding ISSI, wound dehiscence and incisional hernia. Results: Fifty-four patients were eligible (27 per group) with median age of 62 (range: 19-81) years. Both groups were comparable regarding gender and age. Group B exhibited significantly lower rates of ISSI (3 patients, 11%) and wound dehiscence (zero) compared with group A, (12 patients, 44%) and (5 patients, 15%), respectively. Likewise, the duration of hospital stay was significantly shorter among patients in group B versus those in group A. Relaparotomy was required in 2 cases due to disruption of small bowel anastomosis in group A and leaking repair of duodenal ulcer in group B. After a median follow-up of 26 (range: 7 -44) months, the protective effect of SCSD against ISSI correlated with significantly lower incidence of incisional hernia in group B (1 patient, 3.7%) in comparison with group A (5 patients, 18.5%). Conclusion: It could be concluded that mitigation of ISSI, wound dehiscence and incisional hernia with subcutaneous closed suction drainage favors its routine application during closure of non-traumatic EML.

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Abdominal wound closure in the presence of sepsis: our experience with the use of subcutaneous drain

Tagar,

Kpolugbo,

E. Dongo

et al. 2024

gmj

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Objectives: Patients requiring surgery for secondary peritonitis demonstrate a significantly increased risk for incisional surgical site infection. This study aimed to evaluate the efficacy of subcutaneous wound drain post-laparotomy for contaminated surgical wounds.Design: This was a prospective comparative hospital-based study.Setting: Patients who had surgery for secondary peritonitis in Irrua Specialist Teaching Hospital were studied.Participants: Fifty patients aged 16 years and above who presented with secondary peritonitis.Intervention: Patients who met the inclusion criteria were randomized into two equal groups. Group A had a suction drain placed in the subcutaneous space after laparotomy while Group B did not.Main outcome measures: Development of incisional surgical site infection, wound dehiscence, and duration of postoperative hospital stay.Results: The incidence of incisional surgical site infection was significantly less in Group A (20%) than in Group B (68%). There was no case of wound dehiscence in Group A as against 3 (12%) in Group B. The difference was not statistically significant. The mean duration of hospital stay was significantly less with subcutaneous suction drain (8.96+2.81 Vs 14.04+8.05; p = 0.005).Conclusion: Subcutaneous suction drainage is beneficial in abdominal wall closure in cases of peritonitis as it significantlyreduces the incidence of incisional surgical site infection and the duration of postoperative hospital stay. Thereduction in surgical wound dehiscence observed in this study was, however, not statistically significant.

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Role of Negative Suction Subcutaneous Drains in Contaminated Abdominal Surgeries

Cited by 3 publications

References 0 publications

Role of subcutaneous suction drain in reducing surgical site infection in emergency laparotomy

Role of subcutaneous suction drain in reducing surgical site infection in emergency laparotomy

Closure of Emergency Midline Laparotomy over Subcutaneous Closed Suction Drain to Mitigate Incisional Surgical Site Infection, Dehiscence and Hernia: A Prospective Comparative Study

Abdominal wound closure in the presence of sepsis: our experience with the use of subcutaneous drain

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