Role of subcutaneous closed vacuum drain in preventing surgical site infection in emergency surgery for perforative peritonitis: A randomized control study

Authors

  • Sanjeev Kumar Department of Surgical Oncology, Tata Memorial Hospital, Mumbai
  • Souvik Chatterjee Department of General Surgery, R. G. Kar Medical College and Hospital, Kolkata
  • Shahana Gupta Department of Surgical Gastroenterology, JIPMER, Puducherry
  • Ayusman Satpathy Department of Neurosurgery, PGIMER, Chandigarh
  • Shamita Chatterjee Department of General Surgery, Burdwan Medical College and Hospital, Burdwan
  • Udipta Ray Department of General Surgery, Medical College and Hospital, Kolkata

DOI:

https://doi.org/10.3329/bjms.v16i1.31138

Keywords:

SSI, perforative peritonitis, subcutaneous closed suction vacuum drain

Abstract

Objective: The aim of our study was to evaluate whether insertion of a subcutaneous closed suction vacuum drain at incisional surgical site reduces the incidence of surgical site infection (SSI) in post operative cases of exploratory laparotomy for perforative peritonitis.

Methods: An institutional based randomized control study was performed with two hundred patients each included in the study (with drain) and control (without drain) group. Both groups were statistically similar in terms of various variables and thus comparable. All continuous variables were reported as mean ± SD and compared across groups using unpaired t-test. All categorical variables were reports as n (%) compared across groups using Chi-square test for independence of attributes.

Result: Use of a subcutaneous closed suction vacuum drain results in statistically significant reduction in wound infection (58% vs 16%; p < 0.001). The most common organism causing SSI was found to be Escherichia Coli accounting for 62.5% and 62.7% of cases in drain group and control group respectively, followed by Klebsiella (12.5% vs 24.14%).

Conclusion: Use of a subcutaneous closed suction vacuum drain is effective in reducing SSI in contaminated surgery like that for perforative peritonitis and also leads to reduction in SSI related complications like wound disruption, patient discomfort, bad cosmesis, prolonged hospital stay, antibiotic use and increased cost.

Bangladesh Journal of Medical Science Vol.16(1) 2017 p.85-90

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Author Biography

Sanjeev Kumar, Department of Surgical Oncology, Tata Memorial Hospital, Mumbai



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Published

2017-01-16

How to Cite

Kumar, S., Chatterjee, S., Gupta, S., Satpathy, A., Chatterjee, S., & Ray, U. (2017). Role of subcutaneous closed vacuum drain in preventing surgical site infection in emergency surgery for perforative peritonitis: A randomized control study. Bangladesh Journal of Medical Science, 16(1), 85–90. https://doi.org/10.3329/bjms.v16i1.31138

Issue

Vol. 16 No. 1 (2017)

Section

Original Articles

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