A Study to Compare Healing in Postoperative Wounds with Occlusive Gauze Dressing and after Omitting the Dressing
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 5
Abstract
Introduction: The application of dressings to surgical wounds is a custom as old as recorded history . Many studies in the past have demonstrated the safety of exposure of surgical wounds without any complications. The aim of present study was to investigate and compare the outcome of management of clean abdominal incision wound by open that is without dressing or occlusive gauze dressing from fourth day onwards till stitch removal in obstetrics & Gynecological surgeries. Patient and Methods: This was a case control study wherein total 100 patients who were electively operated for obstetrical and gynaecological indications were and randomly divided into two groups. Group I [case group] consisted of 50 patients in whom dressing was done from 4th day onwords till stitch removal. In groupII [control group] occlusive gauze dressin was done. In all 100 patients preoperatively skin was thoroughly cleaned with savlon, betadine and spirit. At the end of surgery haemostasis was secured and all dead spaces were cautiously obliterated. Injectable antibiotics were given upto 5th postoperative day followed by oral antibiotics for next five days. In all cases after surgery dressing was done with gauze pieces and occlusive tape for 4 days. In control group occlusive dressing continued till stitch removal whereas in study group wound was left open after 4th day and only daily betadine painting with sterile gauze piece was continued. Healing of the incisional wound was compared between the two groups with respect to age, socioeconomic status, parity, builty, nutrition, personal hygiene and preoperative haemoglobin status. Also incidence of postoperative complications, resuturing, duration of hospital stay and types of antibiotics used in the two groups were also studied. Result: It was evident that in group I with open dressing 80% of wounds were healthy and only 20% cases had postoperative wound complications. Whereas in groups II with occlusive gauze dressing only 36% wounds were healthy while 64% had one or the other wound complications. However the correlation was not statistically significant [pvalue=0.319] The incidence of resuturing in group I was zero where as in group II the resuturing was required was required in 12%. The difference in the hospital stay of the two groups was not statistically significant in group with 10-16 days hospital stay {p value=0.0127} but was significant in the group of patients with more than 16 days of stay [p value=0.0038]. Similarly the difference in the use of higher antibiotics was not found to be statistically significant [p value=0.0084] Conclusion: The study concluded that 1) omitting dressing of post operative wounds has better outcome than occlusive dressing in terms of lesser complication rate and less duration of hospital stay. 2) It cost and morbidity to patient. 3) It has advantage of saving surgeons time, hospital cost and manpower.
Authors and Affiliations
Dr. Achala Sahai Sharma
Keywords
Related Articles
- EP ID EP211601
- DOI -
- Views 86
- Downloads 0
Tension Pneumoperitoneum and Abdominal Compartment Syndrome Rare Complication of Percutaneous Radiological Gastrostomy, Case Report and Literature Review
Tension pneumoperitoneum (TP) is defined as the massive accumulation of air in the peritoneal cavity, which results in a sudden increase in intraabdominal pressure. Various iatrogenic procedures are responsible for this...
An Unusual presentation of Gastric Gastro intestinal Stromal Tumour: A Case Report
Gastro-intestinal stromal tumours (GIST) are uncommon malignancies of the gastro-intestinal tract and can occur in any part of the alimentary canal , from esophagus to anus. The most common sites of presentation are stom...
A study of spectrum of Adipose Tissue Tumours in a Tertiary Care Centre
Introduction: The most common soft – tissue tumours in clinical practice are fat - containing adipose tissue tumours. We have made an effort to evaluate the pattern of distribution of adipose tissue tumours with respect...
To study safety parameters using preoperative Serum sodium, postoperative Serum sodium & preoperative Hemoglobin, postoperative Hemoglobin, urinary incontinence 50 watt Holmium laser
Background: The study population constituted of patients with benign hypertrophy of prostate who attended outpatient department in Department of Urology, The study population comprised of two groups with a total 20 study...
Vitamin D: A Review on Functions and Requirements (Part II)
Vitamin D a fat soluble vitamin is also a hormone which along with its effect on bone mineralization, exerts its effect on cells by binding to Vitamin D receptor present on most cell types in the body. Its broad spectrum...