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Research Paper | Obstetrics and Gynecology | India | Volume 12 Issue 2, February 2023 | Popularity: 5.1 / 10

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A Prospective Clinical Study on Incidence of Postoperative Wound Complications Following Obstetrics and Gynaecological Surgeries

Dr Sangishetty Neha Akhila

Abstract: Aims and objectives: To find out the incidence of post operative wound complications among the obstetrical and gynaecological surgery and to identify risk factors and study preventive aspects. Materials and methods: This is a prospective observational study of all the patients with wound infections following operations done for any obstetric or gynaecologic cause. Results: Incidence of post operative wound complication following obstetrics and gynaecology surgery was 8.9% among 1029 surgeries performed during study period. Out of 1029, 92 patients have developed postoperative wound complications. Wound dehiscence is most common complication in our study and classified as per class of SSI. Most of the patients in our study were from age group 21 - 25 years (34.7%). Mean age was 37.4 years. Caesarean section was done in 44.6% cases, while abdominal hysterectomy was done in 29.3% cases.20.7% cases had laparotomy and 5.4% had tubectomy. According to wound fortification technique, secondary suturing was done in 34 cases while drain was used in 2.2%. Staphylococcus aureus being the mostcommon isolated organism from wound specimen. Incidence of wound complication was 6.3% in LSCS cases and 11.8% in hysterectomy cases. Conclusion: Incidence of wound complications in our study was 8.9%. Since LSCS and hysterectomy are the most common operation done, the wound complication rate is also high (6.3% in LSCS cases and 11.8% in hysterectomy cases). Most of the wound complications in our study was wound dehiscence i. e superficial skin gaping (according to SSI classification). Anaemia being the most common predisposing factor. Surgical site infections can be prevented by proper pre - operative assessment of cases, strict compliance with scrubbing and donning protocols, skillful surgery, avoiding overcrowding in operation theatre and post operative wards and by maintaining conducive theatre environment.

Keywords: Antibiotic prophylaxis, Anaemia, Surgical site infections (SSI), SSI surveillance, Wound dehiscence

Edition: Volume 12 Issue 2, February 2023

Pages: 881 - 884

DOI: https://www.doi.org/10.21275/MR23209163231

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