Role of subcutaneous drain in class III and class IV laparotomy wound

Abstract

Background: Surgical site infections (SSI) are major problem in general surgery. Aim of this study is to know the role of subcutaneous conrrugated drain in class III and IV laparotomy wounds. Methods: Comparative study was done in 100 patients of emergency laparotomy in civil hospital, Gandhinagar from January 2014 to December 2016. Results: Incidence of surgical site infections were significantly lower (16%) in patients with subcutaneous drain, compared to 40% in patients without drain (p value 0.01). Conclusions: Corrugated subcutaneous drain is cost effective way of reducing surgical site infections and subsequent morbidities in class III and IV laparotomy wound.

Incidence of surgical site infections after emergency laparotomy for perforation peritonitis

“…In this study surgical site infection developed in 26.7% of patients. Patel and Koyani [23] , reported SSI in 22.7% of cases which was closed to the present study. However Gupta and Kumar [19] , found that 37% patients developed surgical site infection post emergency abdominal surgery.…”

“…Surgical site infection developed in15.5% of duodenal ulcer perforation, 16.7% of gastric ulcer perforation, 23.5% of traumatic small bowel perforation, 37.5% of ileal perforation and 36% of burst appendix. In this regards Patel and Koyani [23] , found surgical site infection following operation after perforation of peptic ulcer (17.5%), enteric perforation (40.1%), appendicular perforation (10.0%), gall bladder and liver pathology (30.0%) and colorectal colorectal pathology (46.1%).…”

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

“…7 Patel et al study shown incidence of SSI as 16% in patients with drain and 40% in patients without drain which was statistically significant with pvalue-0.01. 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.…”