The Comparison Of The Frequency Of Surgical Site Infections in patients With Primary Closure Vs Delayed Primary Closure In Contaminated Abdominal surgeries

Abstract

Aim: To compare the frequency of surgical site infections in patients with primary closure versus delayed primary closure in contaminated abdominal surgeries.

Study duration: 7th August 2020 to 6th February 2021

Study design & setting:  Randomized controlled trial in the Department of Surgery, Bahawal Victoria Hospital, Bahawalpur.

Methods: A sample size of eighty two patients presented with the complaint  of contaminated abdomen surgical procedures of any gender between the  age of 20-60 years have been The calculated sample size was eighty two i.e. forty one in each group with 5% level of significance, the surgical site infections in patients with major closure as 42.5% and with delayed closure as 17.5%. Sampling technique was Non-probability, consecutive sampling. All subjects presented with contaminated stomach surgical procedures as per operational definitions and age twenty to sixty years have been included in the study. The patients with malignant ascites was excluded from the study. Patients with records of penetrating/blunt stomach injuries, with persistent steroid use i.e. >1 month and patients with persistent renal failure

Results: The age of women mean in group A was 37.68±7.37 years and in group B was 36.44 ± 8.12 years. Majority of the subjects were forty eight (58.54%) have been between twenty to forty years of age. Out of eighty two patients, fifty seven (69.51%) have been men and 25 (30.49%). The surgical site contamination in group A (primary closure) as eleven (26.83%) and in Group B (delayed primary closure) as four (9.76%) respectively with p-value of 0.046.

Conclusion: Therefore it is concluded that frequency of surgical site infections is much less in patients with delayed major closure in contaminated abdomen surgeries as in compare to main closure.

Keywords: Surgical site infections, delayed primary closure, Prolene.