Publication:

Study on wound healing following major abdominal gynaecological surgeries in a tertiary care hospital

Background In the fancy era of minimal invasive, day care and scarless surgery, abdominal operation through a laparotomy is but a last choice for the mediocre. Surgical site wound healing is a benchmark for patient as well as surgeon satisfaction following an abdominal operation. It is a determinant of preop preparation, intra and post op management by the healthcare system and the duration of hospital stay as well as burden of disease. Aim of the study was to study the spectrum wound healing, and post operative hospital stay in patients undergoing major gynaecological abdominal surgeries. To assess and correlate the underlying risk factors for wound healing.

Methods This was a hospital based prospective study carried out in a tertiary care centre in north A.P. on patients who underwent major abdominal gynaecological surgeries during one year from January 2022 to December 2022. Determinants like patient age, BMI, anaemia, HTN, Diabetes mellitus, hypothyroidism were studied & made observations on wound healing, SSIs and post operative hospital stay in all the cases. Statistical analysis was done using SPSS version 22, P value <0.05 taken as significant.

Results Among 100 major abdominal gynaecological surgeries studied, 20 cases developed delayed wound healing, one case developed complete dehiscence, thus, incidence of wound dehiscence was 1%, rate of SSI was 12%. Anaemia, DM, obesity and HTN were significantly associated with poor wound healing in that order.

Conclusions Optimisation of the patient’s health condition before taking up for elective surgeries is important for better recovery of the patients.