Reduced Incidence of Early Complications of Surgical Wounds in Laparoscopic Surgery

Background:The incidence of early wound related complications is assessed in laparoscopic versus open abdominal surgeries. Complications of surgical wounds(esp.wound infections) are considered as a major problem in surgery wards. Complications of surgical wounds are classified as early and late.Comm...

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Bibliographic Details
Main Authors: B. KHORASANI, A. GHOLIZADEH PASHA
Format: Article
Language:English
Published: Iran University of Medical Sciences 2006-07-01
Series:Medical Journal of The Islamic Republic of Iran
Subjects:
Online Access:http://mjiri.tums.ac.ir/browse.php?a_code=A-10-1-208&slc_lang=en&sid=1
Description
Summary:Background:The incidence of early wound related complications is assessed in laparoscopic versus open abdominal surgeries. Complications of surgical wounds(esp.wound infections) are considered as a major problem in surgery wards. Complications of surgical wounds are classified as early and late.Common and early complications are hematoma, seroma and wound infection. Methods: The medical records of 104 elective laparoscopic (A) and 106 diagnosis matched open surgeries (B) including apendectomy,cholecystectomy,ventral hernia repair,and bariatric surgery were prospectively reviewed.Study data included patients` sex, age, wound class, type of operation, and occurrence of early wound related complications. Surgical wounds were evaluated for presence of early complications during the post-op period and 10 to 15 days after the operation. Results: The two groups were not different regarding age, sex and wound classes.No patients in group A and 7 patients in group B developed wound infection (p<0.05).Incidence of hematoma was similar in the two groups;one case in each.No patient in the two groups experienced seroma nor wound dehiscence.Gender,age and wound classes were not associated with higher rates of wound complications.Conclusions:Laparoscopic surgery significantly reduced the incidence of early wound complications,especially wound infection,and is a safe and effective alternative to conventional open procedures.
ISSN:1016-1430
2251-6840