Role of Drainage of Preperitoneal Space in Postoperative Wound Sepsis
Journal of Surgery
Volume 4, Issue 1-1, January 2016, Pages: 11-15
Received: Aug. 14, 2015; Accepted: Aug. 15, 2015; Published: Sep. 8, 2015
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Emad K. Bayumi, Crimean Medical Academy Named After S.I. Georgiesky of Crimea Federal University, Crimea, Russia
Aly Saber, Port-Fouad General Hospital, Port-Fouad, Egypt
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Introduction: The incidence of surgical site infection increases with the degree of abdominal contamination. Previous studied claimed the effectiveness of putting a negative suction drain in the subcutaneous space in prevention of wound infection and wound dehiscence in patients of peritonitis. Aim was to study the effect of drainage of preperitoneal space in postoperative wound infection. Patients and Methods: A total of 200 patients with secondary peritonitis due to perforated appendicitis, perforated duodenal ulcers and traumatic bowel injuries were divided into main two groups; group A; wound closure with preperitoneal submuscular suction drainage and group B; wound closure without drain. End Points: The end points of the study were wound infection and time off from work. Results: The overall rates of wound infection in were 19% and 24% in group A and B respectively. Therefore the mean total hospital stay in both groups was 8.48 ±3 and 14.76±4.41days respectively. In the other hand, the mean time to return work after being discharged from the hospital was 8.5 ± 1.13 in group A and 8.59 ± 1.1 in of group B. The mean time off from work was 16.98 ± 4.13 days in group A and 23.38 ± 5.51 days in group B. Conclusion: Incidence of surgical site infection is high in case of complicated appendicitis and has its direct effect on the extent of hospital stay and time off from work and those with drainage of preperitoneal space showed more time of hospital stay and more time off from work.
Preperitoneal Space, Drainage, Wound Sepsis
To cite this article
Emad K. Bayumi, Aly Saber, Role of Drainage of Preperitoneal Space in Postoperative Wound Sepsis, Journal of Surgery. Special Issue: Abdominal Surgery: Toward the Best. Vol. 4, No. 1-1, 2016, pp. 11-15. doi: 10.11648/j.js.s.2016040101.13
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