Role of subcutaneous vacuum suction drain in prevention of abdominal wound complication in emergency laparotomy

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dc.contributor.authorPandey, Vinod Kumaren_US
dc.contributor.authorChandra, Dhruven_US
dc.contributor.authorKumar, Rajen_US
dc.contributor.authorSingh, Anilen_US
dc.contributor.authorPratap, Tejen_US
dc.contributor.authorAgarwal, Shubhamen_US
dc.contributor.authorYadav, Ashishen_US
dc.date.accessioned2020-11-18T10:04:33Z
dc.date.available2020-11-18T10:04:33Z
dc.date.issued2020-06
dc.description.abstractBackground: Some of the most common wound complications following laparotomy include hematoma formation, seroma formation, wound infection, burst abdomen and wound dehiscence. Closed-suction drains (CSDs) help to drain any wound collection and also reduce any dead space in the wound thereby promoting healing and preventing complication.Methods: We conducted a prospective study and included patients presenting with acute abdomen in emergency department. Patients were selected as per inclusion and exclusion criteria. Two groups (group A and B) with equal number of patients were created based on closed envelope technique. CSD was placed in the wound of patients in group A. Wound healing and complications were compared between the two groups.Results: 50 patients were included in the study with 25 in each group. Hematoma formation was found to be significantly more among group B (24.0%) compared to group A (4.0%). Seroma formation (p value =0.03917), SSI rate (p value =0.039) and wound dehiscence/burst abdomen (p value =0.0415) was more in group B than group A. The mean wound healing time (days) and mean hospital stay (days) was significantly more in group B.Conclusions: Placing a subcutaneous vacuum suction drain at the time of abdominal wall closure during emergency laparotomy results in better wound healing and reduces postoperative wound complication, hospital stay time, morbidity and also decreases overall healthcare cost.en_US
dc.identifier.affiliationsDepartment of General Surgery, Motilal Nehru Medical College, Allahabad, Uttar Pradesh, Indiaen_US
dc.identifier.citationPandey Vinod Kumar, Chandra Dhruv, Kumar Raj, Singh Anil, Pratap Tej, Agarwal Shubham, Yadav Ashish. Role of subcutaneous vacuum suction drain in prevention of abdominal wound complication in emergency laparotomy. International Surgery Journal. 2020 Jun; 7(6): 1873-1878en_US
dc.identifier.issn2349-3305
dc.identifier.issn2349-2902
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/212944
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber6en_US
dc.relation.volume7en_US
dc.source.urihttps://dx.doi.org/10.18203/2349-2902.isj20202399en_US
dc.subjectSubcutaneous vacuum suction drains abdominal wounden_US
dc.subjectWound complicationen_US
dc.subjectEmergency laparotomyen_US
dc.subjectPost laparotomy complicationen_US
dc.subjectSuction drainen_US
dc.titleRole of subcutaneous vacuum suction drain in prevention of abdominal wound complication in emergency laparotomyen_US
dc.typeJournal Articleen_US
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