scholarly journals Post-surgical analgesic outcomes in relation to surgical site infections in case of monofilament (polydioxanon) versus polyfilament (polyglactin) suture in contaminated emergency laparotomy

2016 ◽  
Vol 2 (1) ◽  
Author(s):  
Faruquzzaman ◽  
Hossain SM ◽  
Mazumder SK
Keyword(s):  
Surgical Site Infections ◽  
Emergency Laparotomy

scholarly journals Study of pattern of nosocomial infections among post-operative patients following obstetrical and gynaecological surgeries in a tertiary care institute of northern India

2019 ◽  
Vol 8 (4) ◽  
pp. 1421
Author(s):  
Latika . ◽  
Smiti Nanda ◽  
Pushpa Dahiya ◽  
Sushila Chaudhary
Keyword(s):  
Nosocomial Infection ◽  
Functional Disability ◽  
Financial Burden ◽  
Tertiary Care ◽  
Health Sector ◽  
Surgical Site Infections ◽  
Developed Countries ◽  
Emergency Laparotomy ◽  
Northern India ◽  
Hospital Acquired

Background: Hospital acquired infections (HAIs) are the major causes of morbidity and mortality, functional disability and financial burden among the patients admitted in hospitals. The nosocomial infection has thrown a big challenge to the health sector in both the developing and developed countries; therefore, it is important to put in place surveillance system for monitoring its incidence rate and planning early interventions for its prevention. The aim and objective of the study was to study the socio demographic profile of the patients who underwent Obstetrical and Gynecological surgeries and to identify the risk factors and causative organisms associated with the post-operative nosocomial infection and pattern of antibiotics sensitivity.Methods: It was a record based retrospective study carried out in a tertiary care referral institute. The case files of all post-operative patients from January 2015 to July 2015 were retrieved from the Medical Record department and an extensive analysis was carried out.Results: It was found that majority of the patients (75%) with nosocomial infection were in the age group of 20-35 years and all were married. Most of them (72%) were from the rural background. It was observed that around 9% patients reported nosocomial infection after emergency laparotomy procedure as compared to 8% of patients after elective procedure.Conclusions: In this study it was found that surgical site infection (SSI) was most common nosocomial infection followed by Urinary tract infection. The majority of surgical site infections can be prevented by the preoperative, intraoperative and postoperative phases of care.

scholarly journals Role of subcutaneous suction drain in reducing surgical site infections after emergency laparotomy

2017 ◽  
Vol 4 (8) ◽  
pp. 2717
Author(s):  
Poonam Gupta ◽  
Rajesh Kumar
Keyword(s):  
Surgical Site Infection ◽  
Significant Role ◽  
Surgical Site Infections ◽  
P Value ◽  
Emergency Laparotomy ◽  
Emergency Setting ◽  
Site Infection ◽  
Randomised Study ◽  
Suction Drain ◽  
Drain Group

Background: One of important morbidity postoperatively is surgical site infection and the important cause is collection of blood and serous fluids which can get infected and this factor is even more important in emergency laparotomies. our prospective randomised study compares the incidence of surgical site infection in post emergency abdominal surgical wounds with subcutaneous suction drains versus those in whom drain was not placed.Methods: A prospective interventional study of 100 subjects done in department of surgery at rural tertiary centre. on the basis of exclusion and inclusion criteria patient were randomly selected for cases (with post-operative suction drain) and controls. subcutaneous drain in emergency setting play significant role in reducing the incidence of surgical site infection which is significant statistically.Results: 24% of patients in drain group develop surgical site infections. 50% of patients in non-drain group develop infection. Incidence of infection in drain group was lower than the no drain group (p value 0.05) and was statistically significant.Conclusions: Subcutaneous drain in emergency laparotomy play significant role in reducing the incidence of surgical site infection

TP6.2.1 Does the use of Negative Pressure Wound Dressings decrease superficial Surgical Site Infections in the Emergency Laparotomy?

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Eleanor Smith ◽  
Hannah Merriman ◽  
Safia Haidar ◽  
Grace Knudsen ◽  
Victoria Kinkaid ◽  
...  
Keyword(s):  
Negative Pressure ◽  
Intervention Group ◽  
Surgical Site Infections ◽  
Wound Dehiscence ◽  
Wound Dressings ◽  
Emergency Laparotomy ◽  
Post Intervention ◽  
Significant Difference ◽  
The Cost

Abstract Aims Surgical site infection (SSI) can be a significant cause of morbidity in the emergency laparotomy patient. Previous research into the role of negative pressure wound dressings to improve the rate of SSI culminated with NICE guidelines in 2019 recommending the use of negative pressure wound dressings in people who would be considered high risk for developing an SSI. Based on this guideline, we changed our policy to recommend the use of PICO dressings for all emergency laparotomies in order to decrease our rate of SSI. Our aim of this study was to assess the success of this policy change. Methods In this closed-loop audit we analysed data from all laparotomy patients at Frimley Park Hospital over 12 months. We retrospectively analysed the data of the pre-intervention group between January – June 2019, and prospectively audited all laparotomy patients between July – December 2019. Results We found that there was no significant decrease in the rate of superficial SSI, from a pre intervention rate of 22.2% to a post intervention 24.1%. Similarly, we found no significant decrease in the rate of wound dehiscence, which increased from 13.8% to 17.7%. In further assessment we saw no significant difference in the rates of contamination, ASA grades, or closure techniques to account for these increased rates. Conclusion While other studies have demonstrated a decrease in SSIs following the use of PICO dressings, we did not show such a result, leading us to question the cost-effectiveness of negative pressure wound dressings in the emergency laparotomy patient.

scholarly journals A comparative study of primary skin and subcutaneous tissue closure and open skin technique in emergency laparotomy for perforative peritonitis: an observational and prospective study

2018 ◽  
Vol 6 (1) ◽  
pp. 166
Author(s):  
Ramanuj Mukherjee ◽  
Sudipta Samanta
Keyword(s):  
Prospective Study ◽  
Hospital Stay ◽  
Primary Closure ◽  
Subcutaneous Tissue ◽  
Group Versus ◽  
Surgical Site Infections ◽  
Emergency Laparotomy ◽  
Advantages And Disadvantages ◽  
Duration Of Surgery ◽  
Perforative Peritonitis

Background: Surgical site infections (SSI) are major complications following laparotomy for perforative peritonitis largely affecting the quality of life, increasing morbidity and mortality. The study conducted seeks the factors that may be associated with post-operative surgical site infection.Methods: A comprehensive observational and prospective study reporting advantages and disadvantages of Primary Closure (PC) and Delayed Primary Closure (DPC) for SSI, duration of hospital stay and morbidity following various aetiologies of perforative peritonitis requiring emergency laparotomy.Results: Incidence of SSI was less in the DPC group (7.4%) compared to the PC group (42.9%) (p= 0.0040. Length of hospital stay was comparable in both groups, mean 13.52 days in the DPC group versus 14.07 days in the PC group (p=0.586). Significantly higher rates of SSI were found in patients with ASA grade >2 (p=0.012). Duration of surgery >4 hours and intra-operative transfusion were also found to have higher rates of SSI, but these differences were not significant (p=0.181 in both cases). Incidence of SSI did not have any co-relation with site of perforation.Conclusions: SSI increases the hospital stay by approximately 5 days average. DPC significantly reduces the incidence of SSI in perforative peritonitis patients but the advantage of DPC over PC is questionable. Patients with ASA grades >2 were found to have significantly higher rates of SSI. Patients with >4hours surgery and patients with intra-operative transfusion also had higher rates of SSI, but this was not significant. Site of perforation have no co-relation with incidence of SSI.

scholarly journals Incidence of surgical site infections after emergency laparotomy for perforation peritonitis

2021 ◽  
Vol 5 (2) ◽  
pp. 335-338
Author(s):  
Dr. Md. Babul Akter ◽  
Dr. Md. Ashik Anwar Bahar ◽  
Dr. Md. Tabibul Islam ◽  
Dr. Arun Kumar Baishnab ◽  
Dr. Mohammad Abdul Quadir ◽  
...  
Keyword(s):  
Surgical Site Infections ◽  
Emergency Laparotomy ◽  
Perforation Peritonitis

scholarly journals A prospective comparative study of efficacy of pulse jet irrigation and conventional irrigation techniques in prevention of surgical site infections in laparotomy wounds

2019 ◽  
Vol 6 (2) ◽  
pp. 557
Author(s):  
Sharath Kumar V. ◽  
Naveen N. ◽  
Purushotham T. S.
Keyword(s):  
Comparative Study ◽  
Wound Care ◽  
Invasive Procedure ◽  
Surgical Site Infections ◽  
P Value ◽  
Emergency Laparotomy ◽  
Wound Irrigation ◽  
Superficial Infection ◽  
Study Results ◽  
Prospective Comparative Study

Background: Surgical Site Infections (SSIs) are infections of tissues, organs or spaces exposed by surgeons during performance of an invasive procedure and continue to be a major source of morbidity following operative procedures. Wound irrigation is the steady flow of a solution across an open wound surface meant to remove cellular debris and surface pathogens contained in wound exudates or residue from topically applied wound care products.Methods: This prospective comparative study was conducted to compare the effectiveness of Pressurized Pulse Irrigation (PPI) and Standard Irrigation Technique (SIT) in laparotomy wounds. Duration of the study was for a period of 12 months and included 100 consecutive patients undergoing laparotomy.Results: 13% of patients who underwent laparotomy had SSI out of which 9 patients had superficial infection only. 8% of 50 patients who had PPI developed SSI, whereas 18% of those who underwent SIT had SSI. Though PPI had less incidence of SSI, statistically it was insignificant.Conclusions: The study showed a decrease in the incidence of postoperative SSI in both elective and emergency laparotomy wounds irrigated with PPI compared to SIT, though the study was statistically insignificant since the p value was less than 0.005 with a odds ratio of 2.52. The study results suggested that there was decrease in the incidence of SSI in PPI patients and also that it decreases the postoperative stay, morbidity and cost.

Retrospective Identification of Bacterial Isolates From Emergency Laparotomy Surgical Site Infections in Horses

2020 ◽  
Vol 87 ◽  
pp. 102927 ◽  
Author(s):  
Natalia Dziubinski ◽  
Kathrin Mählmann ◽  
Antina Lübke-Becker ◽  
Christoph Lischer
Keyword(s):  
Surgical Site Infections ◽  
Emergency Laparotomy ◽  
Bacterial Isolates

scholarly journals O14 SHORT STITCH TRIAL 6:1 WITH 4-OH-BUTYRATE (MONOMAX) - FINAL RESULTS

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Markus Golling ◽  
Zofia Zielska ◽  
Katalyn Maurer ◽  
Petra Baumann
Keyword(s):  
Learning Curve ◽  
Surgical Site Infections ◽  
Wound Dehiscence ◽  
Patient Specific ◽  
Emergency Laparotomy ◽  
Specific Data ◽  
Emergency Operations ◽  
Short Stitch ◽  
Wound Length ◽  
Prospective Database

Abstract Aim Surgical technique and material used to close an abdominal wall incision are considered to be important determinants for the risk of developing surgical site occurences (SSOs). Aim of our prospective, non-randomized, monocentric study was a comparative analysis of the perioperative performance (6:1 suture/wound length (SL/WL)-ratio) and SSOs (surgical site infections [SSI] & 2°wound dehiscence/burst abdomen) following midline & transverse incisions. Material and Methods The trial is completed. It included 351 patients between 1/2013-10/2018 in a prospective database. The surgeons aimed at performing a 6:1 SL/WL-ratio in all laparotomies. Patient specific data (risk factors, intra- & postop parameters & SSI/SSO) were entered into the registry database. Satistics involved the Chi2-/ANOVA and Mann-Whitney Test. Results Overall, 82,3% (289/351) were operated electively, 17,7% (62/351) had an emergency laparotomy, 55% (n = 194) had a midline, 29% (n = 103) a transverse and 15% (n = 54) a combined L-shaped laparotomy (liver resection). A learning curve with respect to the bite width was encountered. While SL/WL ratio all laparotomies were similar, bite width varied but improved with experience. SSI was higher in transverse vs. median laparotomies and overall higher in emergency operations. The rate of 2°wound dehiscence (surgical site occurrence [SSO]) stayed at 1/351. Conclusions A learning curve is required to sufficiently perform a short stitch 6:1 suture. Median and transverse laparotomies can be closed safely by a 6:1 SL/WL ratio. SSO could be reduced compared to our historic patient cohort but did not differ within the > and < 6:1 ratio. Emergency laparotomies can also be safely performed with the short stitch technique.

A COMPARATIVE STUDY OF SUBCUTANEOUS SINGLE CLOSED SUCTION DRAIN VERSUS SIMPLE CLOSURE IN EMERGENCY MIDLINE LAPAROTOMY WOUNDS

2021 ◽  
pp. 49-50
Author(s):  
Vijayalakshmi Vijayalakshmi ◽  
R. Karthick ◽  
T. Jeyalakshmi
Keyword(s):  
Wound Healing ◽  
Surgical Procedure ◽  
Surgical Site Infections ◽  
Emergency Laparotomy ◽  
Midline Laparotomy ◽  
Simple Closure ◽  
Closed Suction ◽  
Suction Drain ◽  
Closed Suction Drain ◽  
Increased Risk

Wound healing is major concern after surgical procedure, because of its association with quality of life and morbidity of patients. Infections that occur in the wound created by an invasive surgical procedure are generally referred to as Surgical Site Infections (SSIs).. Patients requiring Emergency laparotomy procedure has increased risk of surgical site infection and delayed wound healing. Complications following the closure of abdominal layers after correcting the pathology and peritoneal washings are surgical site infections, wound dehiscence, burst abdomen, wound seroma and wound hematoma. Negative suction in the subcutaneous plane decreases infection by removal of serum or debris and by elimination of dead space in the plane. This study is to compare the subcutaneous single closed suction drain and conventional simple closure of skin and subcutaneous tissue in emergency laparotomy cases.

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