“A Comparative Study of Subcutaneous Single Closed Suction Drain Versus Simple Closure in Emergency Midline Laparotomy Wounds”

Abstract

Background: Wound healing after surgery is a big problem since it's connected to patient morbidity and quality of life. The term "surgical site infections" (SSIs) is most frequently used to characterise infections that arise in the wound left behind following an invasive surgical operation. Wound infections continue to be a major worry because of the potential impact they may have on the outcome of surgical procedures and the length of hospital stays. Infections at the surgical site and delayed wound healing are more common in patients who require emergency laparotomy treatments.

Materials & Methods: This study was conducted at private medical college and hospital over a period of 12 months from January 2023 to December 2023. It is a prospective study. Data collected from patients admitted in General surgery department from all patients undergoing emergency laparotomy procedure at hospital. A total sample of 100 patients, 50 in each in group.

Results: percentage of males (57%) and females (43%) within the total sample of 100 individuals. subcutaneous drain was present (53 cases) and where it was not (47 cases). wound complications were present (38 cases) and where they were not (62 cases). SSI was present (30 cases) and where it was not present (70 cases). In cases where there was a subcutaneous drain but no SSI, this represents 77% of the cases.Twenty-three percent of cases with SSI and no subcutaneous drain are in this category.

Conclusion: Our study found that age and sex had no significant impact on the outcomes when comparing the use of a subcutaneous single closed suction drain with a straightforward closure during emergency laparotomy procedures. significantly reduced the frequency of seroma, surgical site infection, and discomfort following surgery in individuals who had subcutaneous drains in comparison to two groups. When compared to patients who had no negative suction drain installation, subcutaneous single closed suction drains significantly reduce surgical site infection, seroma, and postoperative discomfort during emergency laparotomy procedures.