Pompy Baidya1, Dewan Ali Hassan Chowdhury2, Md Asik Anwar Bahar3
1. Assistant Professor, North East Medical College & Hospital, Sylhet
2. Professor and Head, Department of Surgery, Sylhet Women’s Medical College & Hospital, Sylhet
3. Professor. Department of Surgery, Manikganj Medical College, Manikganj
Abstract
Peritonitis due to perforation of duodenal ulcer is one of the commonest emergencies encountered by surgeons. Surgery for perforation peritonitis is associated with the highest rates of infective complications especially surgical site infections as because there is contamination of the operative field with microorganisms from an endogenous source.
To observe the effectiveness of subcutaneous suction drain at the incision site in the prevention of surgical site infection after laparotomy for duodenal ulcer perforation. This prospective comparative study included 120 patients of emergency laparotomy for duodenal ulcer perforation and was conducted in the Department of Surgery, Sylhet MAG Osmani Medical College Hospital, Sylhet, from July 2020 to June 2021. Patients who underwent surgery for duodenal ulcer perforation during the study period and fulfilled the selection criteria were enrolled the study. The patients were divided into two groups with 60 patients in each group. Allocation of the patients in group-A and group-B was done by the surgeon at the time of operation. A subcutaneous negative suction drain was placed in patients with group-A and no drain in group-B. Accidental removal of the drain, immunocompromised patients, patients with the comorbid conditions such as uncontrolled diabetes mellitus, chronic kidney diseases, duodenal ulcer perforation along with jejunal, ileal and colonic perforation, and ASA score ≥4 were excluded in the study. Statistical analysis of the result was done by unpaired t-test for quantitative data and chi-square test for qualitative data. A probability (p) value of <0.05 was considered statistically significant.
Key Words: Subcutaneous suction, Prevention, Infection, Laparotomy.