A prospective case-control study on the efficacy of subcutaneous suction drainage in reducing surgical site infections following laparotomy
DOI:
https://doi.org/10.18203/2320-6012.ijrms20260248Keywords:
Comorbidity, Elective surgery, Emergency surgery, Subcutaneous suction drain, Surgical site infectionAbstract
Background: Surgical site infections (SSIs) are one of the major postoperative complications and their management still remains to be a gruelling task. The worldwide incidence of SSI ranges between 0.5 and 15%, but in India it shows a significant increase of about 23 to 38%. The placement of suction drains in surgical wounds has proved to be quite promising especially in emergency laparotomies. The objective of this study was to compare the incidence of SSIs in abdominal surgical wounds with subcutaneous suction drains versus those where drains were not used.
Methods: This is a case-control study of 60 patients undergoing midline exploratory laparotomy surgeries admitted in the gastrosurgery and general surgery department of Hitech Medical college and Hospital, Bhubaneswar. Among them, closed subcutaneous drain was placed before the skin closure for every alternate patient and for the others no subcutaneous drain was placed. The patients for whom subcutaneous drain were placed were considered as cases while the other group of patients were considered as control group.
Results: The patients in the case group had lower incidence of SSI compared to the control group. When compared between the emergency and elective cases, the emergency cases showed higher propensity for SSI.
Conclusions: Subcutaneous suction drains have proved to be safe and effective in preventing SSIs in abdominal surgeries, especially in emergency and colorectal surgeries.
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References
Awad SS, Palacio CH, Subramanian A, Byers PA, Abraham P, Lewis D, et al. Implementation of a methicillin-resistant Staphylococcus aureus (MRSA) prevention bundle results in decreased MRSA surgical site infections. Am J Surg. 2009;198:607-10. DOI: https://doi.org/10.1016/j.amjsurg.2009.07.010
NA. National Nosocomial Infections Surveillance (NNIS) National Nosocomial Infections Surveillance (NNIS) System Report, Data Summary from January 1992-June 2001, issued August 2001. Am J Infect Control. 2001;29(06):404-42. DOI: https://doi.org/10.1067/mic.2001.119952
Barie PS. Surgical site infections: epidemiology and prevention. Surg Infect (Larchmt). 2002;3(1):S9-21. DOI: https://doi.org/10.1089/sur.2002.3.s1-9
Townsend CM, Beauchamp RD, Evers BM, Mattox KL. Surgical infections and antibiotic use: Sabiston textbook of Surgery: The biological basis of modern surgical practice. 21st ed. Amsterdam. 2021.
Drains. Dead Space Management in Complications in Surgery. Mulholland MW, Doherty GM (ed). 2nd ed., Philadelphia, Pa., USA: Wolters Kluwer, Lipincott William and Wilkins Health. 2011;148.
Bendavid R. Use of drains in Abdominal Wall Hernias: Principles and Management. Springer. 2001. DOI: https://doi.org/10.1007/978-1-4419-8574-3
Fujii T, Tsutsumi S, Matsumoto A. Thickness of subcutaneous fat as a strong risk factor for wound infections in elective colorectal surgery: impact of prediction using preoperative CT. Digest Surg. 2010;27(4):331-5. DOI: https://doi.org/10.1159/000297521
Cheadle WG. Risk factors for surgical site infection. Surg Infect. 2006;7:S7-11. DOI: https://doi.org/10.1089/sur.2006.7.s1-7
Gilkar A, Dogra V, Umer M, Javidahmad P, Sheemajavid H. Evaluation of subcutaneous negative pressure drain placement following emergency laparotomy. Int J Curr Res. 2019;11(09):7426-29.
Watanabe J, Ota M, Kawamoto M, Akikazu Y, Suwa Y, Suwa H, et al. A randomized controlled trial of subcutaneous closed-suction Blake drains for the prevention of incisional surgical site infection after colorectal surgery. Int J Colorectal Dis. 2017;32:391-8. DOI: https://doi.org/10.1007/s00384-016-2687-2
Wani JN, Bhat JA. Role of Negative Suction Subcutaneous Drains in Contaminated Abdominal Surgeries. J Gastrointest Dig Syst. 2019;9(1):587. DOI: https://doi.org/10.4172/2161-069X.1000587
Khan AQ, Mahesh K. Role of Negative Suction Drain in Subcutaneous Plane in Reducing Laprotomy Wound Infection. Int J Sci Res. 2016;5(1):692-4. DOI: https://doi.org/10.21275/v5i1.NOV152871
Alsafrani TA, Alabbasi AA, Dabroom AA, Alhothali MM, Alresini KA, Aboalsamh GA, et al. The Effectiveness of Superficial rain to Reduce Surgical Site Infection in Colorectal Surgery. Cureus. 2021;13(8):e17232. DOI: https://doi.org/10.7759/cureus.17232
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