Surgical Site Infection;

Abstract

Objective: To assess the post operative wound complication after opencholecystectomy for uncomplicated Cholelithiasis. Design: Cross sectional descriptive. Setting:Surgical unit of Khyber Teaching Hospital Peshawar Pakistan. Patients: 223 patients underwentelective open cholecystectomy January 2011 to July 2012. Results: 90% patients had normalhealing (grade 0 or I) ,7.5% had minor complications (grade II or III), 2.5% patients had majorcomplication (grade IV or V) recorded during hospital stay. On follow-up in out-patientdepartment 81%patients found to have normal healing (grade 0 or I), 15% patients had minorcomplications (grade II or III) and 4% patients had major complications (grade IV or V). There wasan increase noted in wound grades during follow up for surgical site infections as compared totheir record during hospital stay. Conclusions: Southampton wound scoring system is a usefultool for detection of surgical site infection and standardization. Auditing of surgical site infectionby Southampton wound scoring will help the patient, surgical team and sterilization protocol tobe improved.