A comparison of primary closure vs. Delayed primary closure in contaminated abdominal surgery in terms of surgical site infection. | [Isra Medical Journal • 2016]

Author(s):

1. Asma Bibi: Fauji Foundation Hospital, Rawalpindi, Pakistan

2. Dur-I-Shahwar Bhutta: Fauji Foundation Hospital, Rawalpindi, Pakistan

3. Muhammad Taimur: Fauji Foundation Hospital, Rawalpindi, Pakistan

4. Bashir Ur Rahman: Rawal Institute of Health Sciences Islamabad, Pakistan

5. Sundas Ishtiaq: Fauji Foundation Hospital, Rawalpindi, Pakistan

Abstract:

OBJECTIVE: To compare the results in terms of superficial and/or deep surgical site infection, in primary and delayed primary closure, in cases of contaminated abdominal surgery. STUDY DESIGN: A case control comparative study. th th PLACE AND DURATION: Department of Surgery District Headquarters Hospital Rawalpindi from 14 June 2012 to 14 December 2012. METHODOLOGY: The study includes 258 patients admitted from emergency with perforated appendix, ileal and duodenal perforations who underwent laparotomy through midline incision. All patients were divided randomly in two groups by nonprobability consecutive sampling. In Group A with primary closure (PC) of wound done whereas in Group B delayed primary closure DPC of wound done. Each group received antibiotic cover. Patients were followed up for one month post operatively to see any surgical site infection. RESULTS: Among the 258 patients, Surgical Site Infection (SSI) was significantly high in primary closure (PC) group with 63.4% patients and more infection was seen after 3rd post-operative day with about 54.2% patients having infection but only 9.7% had SSI on 4th post-operative week. However patients with delayed primary closure (DPC) had a frequency of SSI to about 26.2% with 16.6% patients having SSI on 3rd post-operative day while 10.0% at 4th post-operative week. CONCLUSION: Delayed primary closure in laparotomy wound is effective method of wound closure in contaminated abdominal Surgery.

Page(s): 150-153

DOI: DOI not available

Published: Journal: Isra Medical Journal, Volume: 8, Issue: 3, Year: 2016

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