COMPARATIVE STUDY OF WOUND COMPLICATIONS IN OBESE PATIENTS V/S NON-OBESE PATIENTS UNDERGOING EMERGENCY ABDOMINAL SURGERY.

Abstract

Background :This is a prospective, comparative, observational study done amongst the  obese and non-obese patients who are admitted and undergone emergency abdominal surgery during the duration of one year to compare incidence of complications in both obese and non-obese group of patients.

Objective :Prospective, comparative, observational study amongst the obese and non-obese patients who are undergone emergency abdominal surgery to compare the incidence of complications among them.  Methods :All post-operative patients who are admitted in ward of department of general surgery, Sir T general hospital, Bhavnagar during the study duration of 1 year. We had applied aseptic dressings on all the postoperative patients and then divide them into obese and non-obese group according to their BMI and during study time period we will compare the role of obesity in wound complications.

Result :The incidence rate of post-operative complication as fever in obese(80%) & non-obese(35%), hemorrhage/hematoma in obese(15%) & nonobese(0%) , septicemia in obese(45%) & non-obese(15% ) ,atelectasis in obese(25%) & non-obese(0%) , as pneumonitis in obese(25%) & nonobese(0%) , as fistula both groups had 0%, as wound infection in obese(45%) & non-obese(10%) , as seroma in obese(25%) & nonobese(0%) and dehiscence in obese(15%) & non-obese(0%) patients.

Conclusion: The wound complications are significantly associated with obesity in patients undergoing abdominal surgery and incidence of complications are more in obese as compared to in non-obese patients.

Key words: Obese, non-obese, Wound, Complications, emergency abdominal Surgery