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49th International Scientific Conference on Sport, Medical and Health Sciences
Vennue: Hotel Istana Kuala Lumpur City Centre 73 Jalan Raja Chulan, Kuala Lumpur, 50200, Malaysia
Date: 04-Sep-2018
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Date: 08-Sep-2018
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Date: 20-Dec-2018
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Journal of Diseases

February 2017, Volume 4, 2, pp 21-26

Reducing Surgical Site Infection by Placing Subcutaneous Drain in the Obese Patients

Dehkhoda S., N. Arian Pour, R. Roozegar

Dehkhoda S. 1
N. Arian Pour 2

R. Roozegar 3

  1. Deptt of surgery, Imam Reza hospital- Tehran, Iran 1

  2. Deptt of Microbiology, AJA Univ. Med. Sciences, Tehran, Iran 2

  3. Deptt of Statistics, Yazd University, Yazd, Iran 3

Pages: 21-26

DOI: 10.18488/journal.99.2017.42.21.26

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Article History:

Received: 18 April, 2017
Revised: 25 May, 2017
Accepted: 15 June, 2017
Published: 04 July, 2017


Abstract:

In this study the effect of placing subcutaneous drain in the incision site of obese patients undergoing bariatric surgery, on the rate of incision site infection was evaluated. 200 obese patients of both sexes included in the study on the basis of the inclusion and exclusion criteria. They were divided into two groups on the basis of their accessibility. For patients belonging to group II (study cases), subcutaneous drain was placed at the incision site. Follow up of the patients shows subcutaneous drain placed at the incision site reduces the rate  of  infection up to 2% which is significantly lower than the infection rate among patients for whom drain was not placed (P<.05). In spite of emphasis to use sutures, drains and foreign bodies only with adequate indications to avoid surgical site infection and based on the merits of employing drain in evacuating the collected material to prevent infection, we recommend the use of subcutaneous drains in obese patients as incision infection may lead to longer hospitalization or readmission. As higher treatment expenditures and higher mortality rate are the consequences of infection, every effort to reduce the consequences rates following bariatric surgery in obese patients is valuable and advisable.

Contribution/ Originality

Keywords:

Anastomotic leak, Bariatric surgery, Drain, Incision site infection, Infection, Intestinal bypass surgery, Jejuno-ileal bypass surgery, Obesity, Weight loss.

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Funding:

This study received no specific financial support.

Competing Interests:

The authors declare that they have no competing interests.

Acknowledgement:

The authors are grateful to all patients who voluntarily participated in the study and allowed us to publish its outcome.

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