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Research Paper | Surgery | India | Volume 12 Issue 4, April 2023 | Popularity: 5.2 / 10
A Prospective Study to Determine the Efficacy of Vacuum Assisted Closure (VAC) in Preventing Surgical Site Infection following Abdominal Surgeries
Vishwendra Singh, Debasish Samal, Aparajita Singh, Swopna Sagar Das
Abstract: A vacuum - assisted closure aids in bringing the margins of the laprotomy wound together, removing exudate, lowering oedema, and encouraging the growth of granulation tissue. Leading to improved patient comfort, reduce patient morbidity, and shorten the period of hospitalisation. Therefore we aim to determine the efficacy of vacuum assisted closure (vac) in preventing surgical site infection following abdominal surgeries in surgery department and to compare rates of SSI in different sociodemographic groups. Patients admitted for emergency laprotomy in the department of surgery were enrolled in the study. The patients were randomly allotted to two groups (group A and group B). In group A (n = 100), laparotomy wound closure without VAC and in group B (n = 100), laparotomy wound closure with VAC. Postoperative assessment was done as per wound dressing schedule and regular follow up post discharge from hospital. The two categories were analyzed in terms of incidence of SSI According to age (not significant), Gender (not significant), Religion (no significance), socioeconomic status (equivocal), alcohol consumption (equivocal), smoking habit (equivocal), BMI (35% Obese people developed SSI as compared to 5.1% nonobese patients), Diabetes Status (even with a closed suction drain, diabetics are more vulnerable to SSI than non - diabetics), pre op hospitalization (not significant), length of OT, (24.6% of patients who had longer operating times, only 5% of patients with short operating times experienced SSI. Despite using a suction drain, the length of OT does seem to have a major impact on how SSI is caused). Therefore the presence of diabetes, a high BMI (obesity), and the length of the surgery are predictors of higher surgical site infection when suction drains are used. The study showed that using ROMO VAC to close laparotomy wounds is a risk - free, secure, ideal replacement for conventional drain - free laparotomy wound closures.
Keywords: SSI, Surgical Site Infection, CSD, Closed suction drain, BMI, Body Mass Index, VAC, Vacuum assisted closure, SE Class, Socio Economic Class
Edition: Volume 12 Issue 4, April 2023
Pages: 980 - 984