SUBCUTANEOUS DRAIN FOR ABDOMINAL INCISION IN CAESAREAN SECTION CASES FOR EFFECTIVE WOUND HEALING
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 10
Abstract
BACKGROUND Caesarean section is a very commonly done lifesaving procedure. Despite being that common, surgical techniques and steps do widely vary. The most common complications of caesarean section are superficial surgical site complications including sepsis, seroma formation, partial/ full thickness wound break-down. The aim of this study was to compare the results of abdominal wound healing of caesarean sections where subcutaneous drain was used with cases where subcutaneous drain was not used. MATERIALS AND METHODS This retrospective cohort study performed on 219 patients was undertaken at Department of Obstetrics and Gynaecology, Sri Adichunchanagiri Institute Of Medical Sciences, from January 2017 to December 2017. The case sheets were retrieved from medical records department and the details were gone through. The number of cases where drain was kept after meeting the inclusion criteria, were 525. The total number of cases where drain was not kept after meeting the exclusion criteria, were 656. Wound induration, wound seroma superficial surgical site infection, post-operative pain, post-operative febrile morbidity, partial or full thickness wound dehiscence requiring dressing and resuturing, duration of hospital stay were tabulated in each wing and compared. RESULTS There was significant difference between group I (without drain group) and group II (with drain group) regarding wound seroma (30 cases without drain versus 5 cases with drain respectively), superficial surgical site infection (25 cases without drain versus 4 cases with drain), full thickness wound gaping (16 cases without drain versus 3 cases with drain), superficial skin break down (40 cases without drain versus 6 cases with drain), postoperative fever (70 cases without drain versus 30 cases with drain). CONCLUSION Patients with drain group have reduced rates of wound seroma, postoperative pain, shorter hospital stay, wound breakdown, but there is insignificant benefit regarding post-operative fever, superficial surgical site infection and haemoglobin concentration.
Authors and Affiliations
Ramesh Babu, Shwetha G. R, Ravindra Pukale
Keywords
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- EP ID EP555296
- DOI 10.14260/jemds/2019/158
- Views 95
- Downloads 0
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