3. Do Post Operative Drains after Emergency Laparotomy Prevent Deep Surgical Site Infection
Dileep Kumar1, Rubina Bashir1 and Salim Ahmed Soomro2
Objective: To compare the frequency of deep surgical site infection in patients undergoing emergency laparotomy with and without postoperative drains in a tertiary care hospital.
Study Design: Randomized control trial study.
Place and Duration of Study: This study was conducted at the Surgical Ward-2, JPMC, Karachi from January 2015 to January 2016.
Materials and Methods: Seven hundred and sixty two patients undergoing emergency laparotomy with age from 15-60 years, due to perforated appendix, tuberculosis, typhoid determined history, clinical examination and erect abdominal X ray were randomized into two groups i.e. with and without post-operative drains. Rate of deep surgical site infection on 3rd & 7th day was measured as outcome.
Results: The mean age of the patients was 28.92±6.246 years with 330 (43.3%) were female while rest 432 (56.7%) were male. Deep surgical site infection on 3rd day was 7.2% in patients with post-operative drains while 8.1% in patients without post-operative drains. Similarly on day 7, deep surgical site infection was 6.3% in patients with post-operative drains as compared with 8.1% in patients without post-operative drains. Differences were statistically non-significant.
Conclusion: It is concluded that there is no difference in frequency of developing deep surgical site infection on 3rd day and 7th whether you use post-operative drains after emergency laparotomy or not. So we accept the null
hypothesis and conclude the use of post-operative drains is not associated with deep surgical site infection on 3rd and 7th day.
Key Words: Deep surgical site infection, Emergency laparotomy, Postoperative drains, Peritonitis.
Citation of article: Kumar D, Bashir R, Soomro SA. Do Post Operative Drains after Emergency Laparotomy Prevent Deep Surgical Site Infection. Med Forum 2017;28(11):12-14.