Abstract
BACKGROUND: Postoperative wound complications are of common occurrence. The incidence of postoperative wound infections ranged from <2% to 38%. Based on NNIS (National Nosocomial Infections Surveillance) system reports, surgical site infections are the third most frequently reported nosocomial infections among hospitalized patient. Aim is to compare the complications of laparotomy wound in elective and emergency surgery and to study the various determinants affecting it. MATERIALS AND METHODS: It is a prospective randomized study of 216 patients undergoing emergency and elective laparotomy. Postoperative wound complications and various factors affecting it are compared between emergency and elective surgery. RESULTS: The study was conducted on 216 patients, aged between 13-80 years, who underwent major elective and emergency laparotomy surgery in Shri B. M. Patil Medical College, Hospital and Research Centre Bijapur, between October 2008 – May 2014 (5 year 6 month). Among the 216 patients, 15(14%) out of 108 patients were in elective laparotomy group and 27(25%) out of 108 patients were in emergency laparotomy who developed complications. CONCLUSION: In conclusion, laparotomy wound complications are multifactorial, this study demonstrated no significant increase in incidence of postoperative tissue and wound complications in emergency (25%) and elective surgery (14%) p=0.08. It mainly depends on higher ASA score, anemia and higher wound class who are more likely to be associated with development of wound complications.
Published Version
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