ABSTRACT
Background: Surgical Site Infections (SSI) afterelective/emergency laparotomy contributes topostoperative morbidity, mortality and resourceutilization. Risk factors related to abdominal SSIs arewell known. Nevertheless, National data guide effortsto improve efficiency, which cannot identify specificorganizational risk factors. Aim and Objectives: Todescribe the prevalence and risk factors associated withSSI in patients undergoing laparotomy. Material andMethods: Descriptive, observational study of elective/emergency laparotomy patients uses institutional datafrom 2017-2019. Univariate and Multivariable logisticregression identified risk factors associated with SSIdevelopment. Results: Of 393 patients studied. 88developed SSI (superficial 19.60%, deep 2.30%, organspace 0.50%), age (40-60 years), males, Body MassIndex (BMI) >25, smoking, diabetes, alcohol, higherwound class, low hematocrit, low serum albumin,Longer duration of surgery were associated withincreased SSI rate. Associated co-morbidities, Lowhematocrit and higher duration of surgery weresignificant independent risk factors (p<0.05).Conclusion: Institutional SSI modeling shows thatmany previously suggested nationally defined riskfactors do not contribute to SSI, at our institution.Identifying SSI's institutional contextual predictors,rather than relying on external data assumptions, is avital endeavor to promote quality improvements andmaximize the value of quality investments.
ABSTRACT
Obturator hernia is a rare type of pelvic hernia which accounts for less than 1% of all abdominal hernias. It generally occurs in elderly emaciated patients with accompanying diseases. Because it is difficult to diagnose before surgery, the morbidity and mortality rates for obturator hernia are high. The most common clinical symptom is strangulation combined with mechanical intestinal obstruction. Abdominal CT scan can precisely confirm the diagnosis and early surgical intervention is essential for better outcome.