Comparative study of use of 32-F, multi-perforated tube drainage of subcutaneous plane versus no drainage, in laparotomy

Authors

  • Harpreet Kaur Department of General Surgery, SGT University, Gurgaon, Haryana, India
  • M. S. Ray Department of General Surgery, SGT University, Gurgaon, Haryana, India
  • S. S. Malhi Department of General Surgery, SGT University, Gurgaon, Haryana, India
  • Digpal Thakore Department of General Surgery, SGT University, Gurgaon, Haryana, India
  • Naresh Modi Department of General Surgery, SGT University, Gurgaon, Haryana, India

DOI:

https://doi.org/10.18203/2349-2902.isj20215130

Keywords:

Subcutaneous drains, Surgical site infections, Seroma, Pus, Hematoma, Wound complications, Wound pain

Abstract

Background: We are concerned about the wound management and wound healing amongst post-operative patients, as wound complications increase the morbidity of patients post-surgery. Most common wound complications post-surgery are wound seromas, hematomas and surgical site infections (SSIs). SSIs lead to increased hospital stay and increased morbidity alongside increasing unnecessary patient suffering and a decreased quality of life. The underlying principle for the use of subcutaneous drains is based on the belief that removal of serum or debris and eradication of dead space in subcutaneous plane will bring down the rate of infection and wound complications.

Methods: A randomized control study was conducted at the General Surgery Department at SGT Medical College, Gurgoan, Haryana. In total, 60 patients were selected (after taking informed written consent) among those admitted to the Surgery Department for laparotomy procedure. Patients were divided randomly into two groups i.e., group-A (study group) and group-B (control group). In group-A patients, subcutaneous wounds were closed over a drain (32-F multi-perforated drain), while in group-B patients no drain was used. Intra-operative and post-operative findings were recorded and analysed to draw study conclusions.

Results: SSIs were observed significantly higher among patients without subcutaneous drain (group-B). Patients of group-B had significantly higher incidence of seroma and pus as compared to group-A patients. Experience of pain was reported higher among the patients without subcutaneous drain (group-B).

Conclusions: Subcutaneous drains play an important role in reducing the incidence of SSIs, wound complications, wound pain; thereby lead to better healing of the surgical wound.

Author Biographies

Harpreet Kaur, Department of General Surgery, SGT University, Gurgaon, Haryana, India

Final Year (3rd year) PG Student, Department of General Surgery, SGT University, Budhera, Gurugram-122505, Haryana.

M. S. Ray, Department of General Surgery, SGT University, Gurgaon, Haryana, India

Professor, Department of General Surgery, SGT University, Budhera, Gurugram-122505, Haryana.

S. S. Malhi, Department of General Surgery, SGT University, Gurgaon, Haryana, India

Final Year (3rd year) PG Student, Department of General Surgery, SGT University, Budhera, Gurugram-122505, Haryana.

Digpal Thakore, Department of General Surgery, SGT University, Gurgaon, Haryana, India

Second Year PG Student, Department of General Surgery, SGT University, Budhera, Gurugram-122505, Haryana.

Naresh Modi, Department of General Surgery, SGT University, Gurgaon, Haryana, India

Second Year PG Student, Department of General Surgery, SGT University, Budhera, Gurugram-122505, Haryana.

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Published

2021-12-28

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Original Research Articles