PDF(Pubmed)
Abstract：
UNASSIGNED: Patients requiring surgery for secondary peritonitis demonstrate a significantly increased risk for incisional surgical site infection. This study aimed to evaluate the efficacy of subcutaneous wound drain post-laparotomy for contaminated surgical wounds.
UNASSIGNED: This was a prospective comparative hospital-based study.
UNASSIGNED: Patients who had surgery for secondary peritonitis in Irrua Specialist Teaching Hospital were studied.
UNASSIGNED: Fifty patients aged 16 years and above who presented with secondary peritonitis.
UNASSIGNED: Patients who met the inclusion criteria were randomized into two equal groups. Group A had a suction drain placed in the subcutaneous space after laparotomy while Group B did not.
UNASSIGNED: Development of incisional surgical site infection, wound dehiscence, and duration of post-operative hospital stay.
UNASSIGNED: The incidence of incisional surgical site infection was significantly less in Group A (20%) than in Group B (68%). There was no case of wound dehiscence in Group A as against 3 (12%) in Group B. The difference was not statistically significant. The mean duration of hospital stay was significantly less with subcutaneous suction drain (8.96+2.81 Vs 14.04+8.05; p = 0.005).
UNASSIGNED: Subcutaneous suction drainage is beneficial in abdominal wall closure in cases of peritonitis as it significantly reduces the incidence of incisional surgical site infection and the duration of postoperative hospital stay. The reduction in surgical wound dehiscence observed in this study was, however, not statistically significant.
UNASSIGNED: None declared.
UNASSIGNED: This was a prospective comparative hospital-based study.
UNASSIGNED: Patients who had surgery for secondary peritonitis in Irrua Specialist Teaching Hospital were studied.
UNASSIGNED: Fifty patients aged 16 years and above who presented with secondary peritonitis.
UNASSIGNED: Patients who met the inclusion criteria were randomized into two equal groups. Group A had a suction drain placed in the subcutaneous space after laparotomy while Group B did not.
UNASSIGNED: Development of incisional surgical site infection, wound dehiscence, and duration of post-operative hospital stay.
UNASSIGNED: The incidence of incisional surgical site infection was significantly less in Group A (20%) than in Group B (68%). There was no case of wound dehiscence in Group A as against 3 (12%) in Group B. The difference was not statistically significant. The mean duration of hospital stay was significantly less with subcutaneous suction drain (8.96+2.81 Vs 14.04+8.05; p = 0.005).
UNASSIGNED: Subcutaneous suction drainage is beneficial in abdominal wall closure in cases of peritonitis as it significantly reduces the incidence of incisional surgical site infection and the duration of postoperative hospital stay. The reduction in surgical wound dehiscence observed in this study was, however, not statistically significant.
UNASSIGNED: None declared.
摘要：
■需要手术治疗继发性腹膜炎的患者发生手术切口感染的风险显著增加。本研究旨在评估剖腹手术后皮下伤口引流对污染的手术伤口的疗效。
■这是一项基于医院的前瞻性比较研究。
■研究了在Irrua专科教学医院接受继发性腹膜炎手术的患者。
■50名年龄在16岁及以上的患者出现继发性腹膜炎。
■符合纳入标准的患者随机分为两组。剖腹手术后，A组的皮下空间放置了抽吸引流管，而B组则没有。
■手术切口感染的发展，伤口裂开,术后住院时间。
■A组（20％）的手术切口感染发生率明显低于B组（68％）。A组无伤口裂开病例,B组无3例(12%),差异无统计学意义。使用皮下抽吸引流的平均住院时间显着减少（8.962.81vs14.048.05；p=0.005）。
■皮下吸引引流对腹膜炎患者的腹壁闭合有益，因为它可以显着降低手术切口感染的发生率和术后住院时间。在这项研究中观察到的手术伤口裂开的减少是，然而,没有统计学意义。
■没有声明。
■这是一项基于医院的前瞻性比较研究。
■研究了在Irrua专科教学医院接受继发性腹膜炎手术的患者。
■50名年龄在16岁及以上的患者出现继发性腹膜炎。
■符合纳入标准的患者随机分为两组。剖腹手术后，A组的皮下空间放置了抽吸引流管，而B组则没有。
■手术切口感染的发展，伤口裂开,术后住院时间。
■A组（20％）的手术切口感染发生率明显低于B组（68％）。A组无伤口裂开病例,B组无3例(12%),差异无统计学意义。使用皮下抽吸引流的平均住院时间显着减少（8.962.81vs14.048.05；p=0.005）。
■皮下吸引引流对腹膜炎患者的腹壁闭合有益，因为它可以显着降低手术切口感染的发生率和术后住院时间。在这项研究中观察到的手术伤口裂开的减少是，然而,没有统计学意义。
■没有声明。
