Efficacy of prophylactic retention suture in prevention of wound dehiscence in emergency exploratory laparotomy- A prospective study

Intussusception is defined as the telescoping of a segment of the gastrointestinal tract within the lumen of the adjacent segment usually proximal to distal. It is a common cause of intestinal obstruction in children, rarely it can occur in adult. This condition is reported in both developed and developing countries, however there are few publications in Nigeria about the incidence, presentation and outcome of its management, most especially in children. This is a prospective study of pediatric patients managed in single center Kano over a period of 18months. The demographic data, clinical features, treatment and outcome of the management were evaluated and analyzed using SPSS version 23. Between June 2018 to December 2019, twenty-five children were managed with intussuception at Aminu Kano Teaching Hospital, there were 16 males and 9 females. The age of the patients ranges between 5 months to 6 years with most of patients in the ager range between 6 and 12 months. All of the 25 patients had exploratory laparotomy with manual reduction in 12 patients, while 13 patients had resection and anastomosis. Non-operative reduction using normal saline under ultrasound guidance was attempted for 2 patients, which was not successful. The length of hospital stay ranged between 4 days and 22 days. Few complications were observed which includes surgical site infection, wound dehiscence, postoperative ileus. One patient was re-operated for recurrent intussuception. Two patients died post operatively, while 23 patients were discharged home alive. Intussuception is still a common cause of intestinal obstruction in children in Kano. Late presentation was found to be associated with higher morbidity (complications).

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A prospective study on appendicular mass

International Surgery Journal ◽

10.18203/2349-2902.isj20211005 ◽

2021 ◽

Vol 8 (4) ◽

pp. 1114

Author(s):

K. Ravichandran ◽

R. Jayaraman ◽

K. Nithya

Keyword(s):

Prospective Study ◽

Conservative Management ◽

Enterocutaneous Fistula ◽

Wound Dehiscence ◽

Final Diagnosis ◽

College Hospital ◽

Duration Of Surgery ◽

Interval Appendicectomy ◽

A Prospective Study ◽

Appendicular Mass

Background: The immediate management of appendicular mass have always been controversial. Early appendicectomy (within 72 hours of presentation) is preferred in some cases, while in others non operative conservative management is advocated. Usually successful conservative management (Ochsner Sherren regimen) is followed by interval appendicectomy (6-8 weeks later). This study determines the outcome of different modalities of intervention in patients with appendicular mass.Methods: A prospective study was conducted in Rajah Muthiah medical college hospital in department of general surgery from June 2018 to December 2020, in cases diagnosed to have appendicular mass. A total of 116 patients were included. After taking detailed history and clinical examination, relevant blood and radiological investigations, were done to achieve the final diagnosis. Presentation, examination findings, investigations, type of surgery, duration of surgery, post-operative complications and duration of hospital stay were studied. Data was collected, compiled, tabulated and analysed.Results: Conservative management followed by interval appendicectomy had lesser incidence of complications like Intraoperative adhesions, surgical site infection, wound dehiscence and enterocutaneous fistula. It also had relatively lesser operative time and lesser period of hospital stay.Conclusions: On comparing the different modalities of intervention, conservative management followed by interval appendicectomy is quite effective and safe method of treatment, with less operative difficulties and better outcome.

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A prospective study of risk factors for abdominal wound dehiscence

International Surgery Journal ◽

10.18203/2349-2902.isj20163983 ◽

2017 ◽

Author(s):

Rajesh Mahey ◽

Smruti Ghetla ◽

Jitesh Rajpurohit ◽

Dhaval Desai ◽

Sachin Suryawanshi

Keyword(s):

Risk Factors ◽

Prospective Study ◽

Wound Dehiscence ◽

Abdominal Wound ◽

Abdominal Wound Dehiscence ◽

A Prospective Study

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REVISITING SUPRACLAVICULAR ARTERY FLAP FOR HEAD AND NECK ONCOLOGIC RECONSTRUCTION.

10.36106/gjra/2513386 ◽

2021 ◽

pp. 220-222

Author(s):

Pranay Bhandari ◽

Ameya Bihani ◽

Pratiksha Pawar

Keyword(s):

Prospective Study ◽

Head And Neck ◽

Buccal Mucosa ◽

Gold Standard ◽

Donor Site ◽

Wound Dehiscence ◽

Donor Site Morbidity ◽

Partial Necrosis ◽

Pros And Cons ◽

A Prospective Study

Background: Head and neck oncologic resections defects are often difcult to reconstruct and are time consuming. An ideal ap should have qualities of both regional and free ap. Our aim in this study is to compare pros and cons of supraclavicular artery ap in comparison to other available ap. This report is a prospective study of cases that underwent supraclavicular artery ap of which, 5 are males and 3 are females. All cases were of carcinoma of Buccal mucosa. 5 cases were completely successful with no complication. One patient had partial necrosis, o Result: ne another patient had distal marginal necrosis with wound dehiscence and one patient had pus discharge with wound dehiscence and orocutaneous stula. No signicant donor site morbidity is seen. This ap has potential to Conclusion: become gold standard in reconstruction of head and neck defects.

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Effect Of Retention Sutures For Prevention Of Abdominal Wound Dehiscence After Laparotomy In High Risk Patients(A Prospective Study).

IOSR Journal of Pharmacy (IOSRPHR) ◽

10.9790/3013-040201038-43 ◽

2014 ◽

Vol 04 (02) ◽

pp. 38-43

Author(s):

Mohanad abdulretha Mohanad abdulretha

Keyword(s):

High Risk ◽

Prospective Study ◽

Wound Dehiscence ◽

Abdominal Wound ◽

High Risk Patients ◽

Risk Patients ◽

Abdominal Wound Dehiscence ◽

A Prospective Study

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Analysis of enteric ileal perforation: a prospective study in a tertiary care hospital

International Surgery Journal ◽

10.18203/2349-2902.isj20170475 ◽

2017 ◽

Vol 4 (3) ◽

pp. 899

Author(s):

Prabu Shankar S. ◽

Sudarshan P.B. ◽

Sundaravadanan B.S.

Keyword(s):

Prospective Study ◽

Tertiary Care ◽

Wound Dehiscence ◽

Fecal Fistula ◽

High Morbidity ◽

Care Hospital ◽

Female Ratio ◽

Ileal Perforation ◽

Delay In Diagnosis ◽

A Prospective Study

Background: Intestinal perforation as a complication of enteric fever is still a serious problem in developing nations. Enteric ileal perforation is associated with high morbidity and mortality and many patients present in a severe toxic state because of delay in diagnosis and late presentation to hospital.Methods: A prospective study was conducted to assess the prognostic factors in enteric ileal perforation. Observations were made regarding symptoms, signs, duration of illness and presentation of patients to the hospital after acute episode. Per operative findings regarding site, size and number of perforations were recorded. Operative procedures were simple closure, ileostomy, or resection of diseased segment including right hemicolectomy done for associated caecal perforation and entero enteric anastomosis. Post-operative complications like wound infection, wound dehiscence, residual abscess, faecal fistula and deaths were documented.Results: There were 50 enteric ileal perforation cases with a age range of 13-80 with a mean age of 30.7. Male: female ratio was 11: 1. 85% of patients presented within 48 hrs of onset of symptoms of perforation and there is significant mortality in patients who presented more than 48 hrs of onset of symptoms of perforation (57.14%). Mortality was high in multiple perforation group (40%) and also higher incidences of fecal fistula and wound dehiscence.Conclusions: Age and sex have no bearing on the outcome. Perforation presentation interval, delay in surgery, number of perforations are important prognostic markers for typhoid ileal perforation.

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A prospective study of assessment of prognostic factors in early and late wound dehiscence in midline vertical incision

International Surgery Journal ◽

10.18203/2349-2902.isj20203238 ◽

2020 ◽

Vol 7 (8) ◽

pp. 2578

Author(s):

Ramashankar Gupta ◽

Surendra Kumar Shrivastava ◽

Prateek Malpani ◽

M. C. Songra

Keyword(s):

Prognostic Factors ◽

Prospective Study ◽

Respiratory Infections ◽

Wound Dehiscence ◽

Emergency Laparotomy ◽

Contributing Factors ◽

Medical College ◽

Elective Setting ◽

Gandhi Medical College ◽

A Prospective Study

Background: Wound dehiscence is separation of some or all layers of incision. It may be partial or complete. It is called as complete when all layers of the abdominal wall have been separated with or without evisceration of viscous. The study aims to find out and record the prognostic factors for wound dehiscence in vertical midline laparotomy.Methods: This was a prospective study in 1400 laparotomies that developed wound dehiscence operated in Gandhi Medical College, Bhopal from august 2017 to august 2019. All the patients with burst abdomen operated during emergency or elective setting by midline vertical laparotomy were included.Results: Wound dehiscence was most common in 51-60 years age group (26%). Majority patients were males (62%). Emergency laparotomy showed maximum incidence (71%). Bursts were seen mostly during 6th to 10th postoperative day. 78% patients presented as partial wound dehiscence and remaining as complete wound dehiscence. 46% presented as early wound dehiscence (7 days).Conclusions: Post laparotomy wound dehiscence has multifactor etiology. Respiratory infections, anemia, and hypoproteinaemia are the contributing factors. Improper haemostasis during surgery and poor surgical technique are the predisposing factors.

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Prospective study of 50 cases of perforative peritonitis a single centre experience

International Surgery Journal ◽

10.18203/2349-2902.isj20173418 ◽

2017 ◽

Vol 4 (8) ◽

pp. 2782

Author(s):

Prakash B. Patel ◽

Suryadeep Baria

Keyword(s):

Prospective Study ◽

Exploratory Laparotomy ◽

Medical College ◽

Primary Peritonitis ◽

Surgical Emergencies ◽

Perforative Peritonitis ◽

Common Etiology ◽

Perforation Peritonitis ◽

A Prospective Study ◽

Surgical Treatments

Background: Perforative peritonitis are most common surgical emergencies seen worldwide. Despite improvement in diagnosis, antibiotics, surgical treatments and intensive care support, it is still an important cause of mortality in surgical patients. This study was done to know the spectrum of etiology, clinical presentation, management and treatment outcomes of patients admitted with perforation peritonitis in our hospital.Methods: A prospective study was done over a period of 3 years from January 2007 to December 2010 in NHL Medical College and V.S. hospital, Ahmedabad which included 50 patients diagnosed with perforation peritonitis. All patients admitted with perforation of gastrointestinal tract were included in this study. All cases of primary peritonitis and anastomotic leaks were excluded from this study.Results: Total 50 cases were included with 80% being males. Highest incidence of perforation peritonitis was noted in 21-30 years of age group in the present study. Most common etiology of perforative peritonitis was noted in the present study was peptic perforation 40% (20) cases, abdominal pain, tenderness were present in all of the perforative peritonitis patients.Conclusions: Perforative peritonitis is more common in male and most common pathology was peptic perforation due to acid peptic disease, in most of the cases after adequate resuscitation and stabilization of the patient Exploratory laparotomy is mainstay treatment modality

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