Health Condition 1: K918- Other intraoperative and postprocedural complications and disorders of digestive system Health Condition 2: K918- Other intraoperative and postprocedural complications and disorders of digestive system
Conditions
Interventions
Intervention1: A subcutaneous closed suction drain will be used at the laparotomy wound closure site.: In the intervention group subcutaneous closed suction drain at the laparotomy wound closure site
Sponsors
Dr Baba Saheb Ambedkar Medical College & Hospital
Eligibility
Inclusion criteria
Inclusion criteria: INCLUSION CRITERIA 1. All the patients undergoing laparotomy with midline incision. 2. Patients aged between 11 – 70 years 3. Patients with co-morbidity Diabetes Mellitus, HTN, Hypothyroidism, and cardiac and pulmonary diseases will also be included. 4. Patients with a BMI of more than 25 EXCLUSION CRITERIA 1. Patients age 70 years 2. Re-do laparotomy surgeries 3. Patients who are immune compromised like long-term steroid usage, HIV, or autoimmune diseases. 4. Patients with severe anemia Hb 5. Patients on steroid intake. 6. Patients with a history of radiotherapy over the abdomen. 7.. Patients with hepatic insufficiency like CLD. 8. Patients with renal insufficiency like CKD.
Exclusion criteria
Exclusion criteria: •Patients age 70 years •Re-do laparotomy surgeries • Patients who are immune compromised like on long-term steroid usage, HIV, or any autoimmune diseases •Patients with severe anemia Hb •Patients on steroid intake, radiotherapy over the abdomen •Patients with hepatic and renal insufficiency like CLD, CKD
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Effect of closed suction drain in reducing the incidence of seroma, hematoma, secondary suturing ,wound dehiscence, duration of hospital stay when compared to simple closure.Timepoint: From immediate post-operative period to thirty days after the surgery. | — |
Primary
| Measure | Time frame |
|---|---|
| Signs and symptoms of surgical site infections like tenderness, swelling, erythema, discharge, wound dehiscence, local temperature at wound site, and raised body temperature. Interventions done for surgical site infection will also be observed like removing sutures and keeping the wound open for healing by secondary intention, or doing a secondary suturing afterwards. Complications due to surgical site infection like delayed wound healing and non healing of wound will be looked for. Basic blood investigation like complete blood count, blood sugar, serum albumin, total leucocyte count, will be done and if needed imaging will be done by x-ray, ultrasonography, computed tomography, or Magnetic Resonance Imaging to confirm the surgical site infection and it’s complications. Culture and sensitivity of the discharge from the wound will also be looked for.Timepoint: Following operation of the patient, both group i.e. with drain and without drain will be observed on day 3, day 7, after one month for signs and symptoms of surgical site infection. | — |
Countries
India
Contacts
Public ContactDr DARA VINAY KUMAR
DR BABA SAHEB AMBEDKAR HOSPITAL
Outcome results
None listed