Mumtaz Ahmad Khan, Muhammad Abid Aziz, Saima Suleman, Uzma Afreen, Fahad Hafeez, Ashiq Muhammad

Compare the Surgical Site Infection in Laparotomy with or without Post-Operative Drainage

Mumtaz Ahmad Khan, Muhammad Abid Aziz, Saima Suleman, Uzma Afreen, Fahad Hafeez, Ashiq Muhammad



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ABSTRACT
Objective: To compare the surgical site infection rate between drain placement versus without drain after emergency laparotomy.
Study Design: Randomized controlled trial
Place & Duration of Study: Department of surgery PIMS Hospital Islamabad for the duration of one yearMarch 1, 2019 to February 29, 2020.
Materials and Methods: Total 120 patients of both genders undergoing emergency laparotomy were enrolled. Patient’s detailed demographics including age, sex and body mass index were recorded after taking written consent. Patients were equally divided into two groups, Each group consist of 60 patients. Group A patients received postoperative drainage while group B didn;t received postoperative drain. Deep surgical site infection was examined at 5th postoperative day. Data was analyzed by SPSS 24.0.
Results: No significant difference was observed regarding age, sex and body mass index between both groups A and B with p-value >0.05. In group A 9 (15%) patients had developed surgical site infection while in group B 12 (20%) patients had surgical sight infection. The difference between both groups was not statistically significant (p-value >0.05).
Conclusion: It is concluded that the rate of surgical site infection in patients without drain placement was high as compared to drain placement but the difference was not statistically significant.
Keywords: Surgical Site Infection, Emergency laparotomy, Postoperative Drainage


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