Comparative Study on Open and Closed Drainage in Emergency Laparotomy

Abstract

AIM OF THE STUDY: To compare the usage of open and closed drains, fluid drained. Complications postoperative morbidity and hospital stay. MATERIAL / SELECTION OF SUBJECTS: 1. Patient with age group greater than 18 to 70 yrs undergoing emergency laparotomies. 2. Exclusion criteria Children, pregnant women and lactating mothers. METHODS: Patients undergoing emergency laparotomies for acute abdomen are assessed clinically/necessary investigations. ANALYSIS: Collected data is used to compare open and closed drains fluid drained, complications, postoperative morbidity and hospital. In our study 30 emergency laparotomies open drainage with corrugated rubber drain and 30 emergency laparotomies closed tube drains were placed and the results were compared. Emergency Laparotomies were common in 20-40 years age group which constitutes 58%, and 41-60 years constitutes 42% of laparotomies. The incidence of emergency laparotomy was higher in males. M : F ratio is 5.5 : 1. Amount of fluid drained can be measured well in closed drainage but measured by number of pads soaked in open drainage. Mean age of open drainage is 41.4 years and closed drainage is 38.6. Infection rates were slightly higher in open drainage with 40% and closed drainage is 15% but p value is 0.1 and stastically not significant The incidence of wound soakage and patient discomfort is higher in open drainage system. The incidence of pain is equally distributed in both the groups The mean hospital stay is 10.93 days in open drainage and 10.3 in closed Drainage. CONCLUSION: The incidence of pain is equally distributed in both the groups. The incidence of infection in higher in open drainage but statistically not Significant. The mean hospital stay is 10.93 days in open drainage and 10.3 in closed Drainage. To Conclude the Incidence of Infection, Pain, Hospital Stay, Post Operative Morbidity Is Not Significantly Altered in Open and Closed Drainage System.