Primary closure versus delayed primary closure in reducing surgical site infection in dirty midline abdominal operative wounds- A randomized controlled trial
Journal Title: Medpulse International Journal of Surgery - Year 2019, Vol 9, Issue 2
Abstract
Background: Surgical site infection (SSI) remains a major problem in managing the class IV- dirty abdominal incisions. One of the most debated issues among those measures is whether to close the wound primarily or to manage as an open wound. There is no conclusive evidence till date whether these techniques have any impact in reducing the surgical site infection Aim: To determine best skin closure technique in reducing SSI in midline laparotomy wounds for dirty operative wounds. Material and Methods: A total of 50 patients operated for abdominal conditions where the surgical wound falls into class IV- dirty abdominal operative wound according to CDC (Centre for Disease Control and Prevention) classification between the ages of 18 to 60 years were included. Out of these 50 patients, 25 in delayed primary closure group (DPC) and 25 in primary closure group (PC). Results: In the delayed primary closure group there were 16 cases of wound infection compared to 14 primary closure (p value 0.635 using chi-square test). There was no significant difference between the rates of SSI in both the study groups. The rate of infection was more in primary closure which was clinically significant. Conclusion: The use of delayed primary closure does reduce the rate of surgical site infection when compared to primary closure in dirty midline abdominal operative wounds.
Authors and Affiliations
Rakesh Pandey, G K Venkatachalam, B Kanchana
Keywords
Related Articles
- EP ID EP471870
- DOI 10.26611/1069210
- Views 143
- Downloads 0
Outcome of early vs delayed laparoscopic cholecystectomy in patients with acute cholecystitis
Background Laparoscopic cholecystectomy, a common surgical procedure for treatment of acute cholecystitis But the time at which the procedure laparoscopic cholecystectomy, is suppose to be done, that is within a week (ea...
A study of risk factors, clinical presentation and management in incisional hernia
Background: Incisional hernia is the one true iatrogenic hernia.Incisional hernia occurs in 10- 20 % of patients subjected to abdominal operations. Incisional hernia is a challenge for surgeon. Aim and Objective: To stud...
A comparative study of 50 cases conservative Vs operative management in blunt abdominal trauma
This study was carried out in 50 patients of civil hospital Ahmedabad, tertiary care centre to evaluate solid organ injuries with various modes of presentation and available investigations for early diagnosis in blunt ab...
Surgical outcomes of fascio-cutaneous rhomboid transposition flap surgery for pilonidal sinus- A case series
Aims: To analyze the possibility of complications, recurrence on follow-up and time taken to resume routine activity in cases of sacrococcygeal pilonidal sinus treated with fascio-cutaneous rhombic transposition flap rep...
Study of reliability of various USG criteria of lymnodes in oral malignancy to detect metastasis preoperatively
Background: There are several methods available nowadays to decide and to differentiate the metastatic nodes along with clinical examination like ultrasound examination, USG-FNAC and computed tomography. Out of these, US...