Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
An important issue with open abdominal surgery is surgical site infection (SSI), which raises treatment costs, morbiditydeath. One of the most frequent post‐operative consequences is surgical site infection, which affects at least 5% of all patients having surgery and, depending on the degree of contamination, 30‐ 40% of patients having abdominal surgery. The subcutaneous single closed suction drain and the straightforward conventional closure of the skin incision during an emergency laparotomy for a hollow viscus perforation are contrasted in this research. The study's objective is to ascertain if, in emergency laparotomies performed for hollow viscus perforations, the insertion of a subcutaneous closed suction drain at the incisional site lowers the risk of surgical site infection after surgery. The research included seventy patients who were admitted to the Department of General Surgery. The diagnosis was established by clinical means and validated by suitable diagnostic techniques. Intravenous fluid was used to revive the patientsantibiotics were administered first. Intravenous metronidazole 500 mg and piperacillin tazobactum 4.5 gm were given to each patient. Individuals who were clinically and radiologically diagnosed with acute abdomen were scheduled for an emergency exploratory laparotomy. Thirty‐five of the 70 patients who had emergency laparotomies had closed subcutaneous drains implanted. An additional 35 individuals had their skin incisions closed in the primary manner. The age group of 31‐40 years old saw the second‐highest number of patients, followed by that of 41‐50 years old. In this research, the average age was 44.2 years. According to our research, subcutaneous negative pressure drainage greatly shortens the length of hospital stay after hollow viscus perforation surgery and lowers the risk of surgical site infection. By reducing hospital stays and infections, this promotes quicker healing from injuries and lessens the financial strain on patients. We advise using a closed negative pressure subcutaneous drain in all patients with contaminated or unclean wounds since the degree of contamination affects the potential for post‐operative problems.
How to cite this article:
A. Kalaiventhan, S. Deepak and S.K. Sreethar. Subcutaneous Negative Pressure Versus Simple Closure of Skin Incision Following Surgery for Hollow Viscus Perforation: A Comparative Study.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.1.517.521
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.1.517.521