[Comparing the early complications of surgical wounds in two methods of open surgery and laparoscopy in Milad Hospital]

ABSTRACT

Incidence of early wound related complications was 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, seruma and wound in fection. Medical records of 104 elective laparoscopic [A] and 106 diagnosis matched open surgeries [B] including appendectomy, 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. The two groups were not different with respect to 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 seruma and wound dehiscence. Gender, age and wound classes were not associated with higher rates of wound complications. Laparoscopic surgery significantly reduced the incidence of early wound complications, specially wound infection, and is a safe and effective alternative to conventional open procedures