A Study of Incidence and Risk Factors in Post Operative Abdominal Wound Infection in Tertiary Care Centre

Thombare, Deepak; Joshi, Dinesh

doi:10.18311/mvpjms/2019/v6i1/18338

Cited by 4 publications

(1 citation statement)

References 12 publications

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“…In India, it is shown to be consistently higher, i.e., 23% to 38%, despite implementing many guidelines. SSI rates are highest in the case of abdominal surgeries when compared to other system surgeries (3), especially in emergency cases (4), with the worst being the dirty abdominal wounds (grade IV) which are reported as high up to 60% (5). Prevention of SSI is the most challenging and crucial part of patient care in the post-operative period.…”

Section: Introductionmentioning

confidence: 99%

Comparison of surgical site infection (SSI) between negative pressure wound therapy (NPWT) assisted delayed primary closure and conventional delayed primary closure in grossly contaminated emergency abdominal surgeries: a randomized controlled trial

Singh,

Sethi,

Mishra

et al. 2023

Langenbecks Arch Surg

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Section: Introductionmentioning

confidence: 99%

Comparison of surgical site infection (SSI) between negative pressure wound therapy (NPWT) assisted delayed primary closure and conventional delayed primary closure in grossly contaminated emergency abdominal surgeries: a randomized controlled trial

Singh,

Sethi,

Mishra

et al. 2023

Langenbecks Arch Surg

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A Study of Incidence and Risk Factors in Post Operative Abdominal Wound Infection in Tertiary Care Centre

Thombare

Joshi

2019

mvpjms

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Comparison of surgical site infection (SSI) between Negative Pressure Wound Therapy (NPWT) assisted delayed primary closure and conventional delayed primary closure in grossly contaminated emergency abdominal surgeries: a randomised controlled trial

Singh

Sethi

Mishra

2023

Preprint

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Purpose NPWT has been tried in many surgical fields including colorectal, thoracic and vascular, and non-healing wounds for prevention of SSI. But its efficacy on prevention of SSI grade IV closed abdominal wound yet to be explored. Methods All patients with grade-IV abdominal wound were included in the study. They were randomised into conventional arm and VAC arm after confirming the diagnosis intra-operatively. The sheath was closed and skin laid open in post-operative period. In VAC arm, the NPWT dressing applied on post-operative day (POD)-1 and it was removed on POD-5. In conventional arm, only regular dressing was done postoperatively. The skin was closed with delayed primary intention on POD-5 in both the arms. The sutures were removed after 7 to 10 days of skin closure. Results The rate of SSI (10% in VAC arm vs 37.5% in conventional arm, p-value = 0.004) was significantly lower in VAC arm, as well as the rate of seroma formation (2.4% in VAC arm vs 20% in conventional arm, p = 0.014) and wound dehiscence (7.3% vs 30%, p = 0.011). The conventional arm had significantly delay in skin closure beyond POD5 due to increased rate of SSI and also lead to prolonged hospital stay (5days in VAC arm vs 6.5days in conventional arm, p-value = 0.005). Conclusion The VAC dressing can be used routinely in grade IV closed abdominal wounds to prevent SSI and other post-operative wound related complications.

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A Study of Incidence and Risk Factors in Post Operative Abdominal Wound Infection in Tertiary Care Centre

Cited by 4 publications

References 12 publications

Comparison of surgical site infection (SSI) between negative pressure wound therapy (NPWT) assisted delayed primary closure and conventional delayed primary closure in grossly contaminated emergency abdominal surgeries: a randomized controlled trial

Comparison of surgical site infection (SSI) between negative pressure wound therapy (NPWT) assisted delayed primary closure and conventional delayed primary closure in grossly contaminated emergency abdominal surgeries: a randomized controlled trial

A Study of Incidence and Risk Factors in Post Operative Abdominal Wound Infection in Tertiary Care Centre

Comparison of surgical site infection (SSI) between Negative Pressure Wound Therapy (NPWT) assisted delayed primary closure and conventional delayed primary closure in grossly contaminated emergency abdominal surgeries: a randomised controlled trial

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