Post-operative surgical infection in clean and contaminated operations

Background: A surgical site infection occurs when micro-organisms get into the part of the body that has been operated on and multiply in the tissues. Surgical site infections can sometimes be superficial infections involving the skin only. Other surgical site infections are more serious and can involve tissues under the skin, organs, or implanted material. CDC provides guidelines and tools to the healthcare community to help end surgical site infections and resources to help the public understand these infections and take measures to safeguard their own health when possible. In this study, a sincere effort has been put to understand and thus help the practising surgeons to help them manage the post – operative complications in infective wounds. Materials and methods: The study was conducted in the Department of General Surgery, Nimra Institute of Medical Sciences (NIMS), Vijayawada on two hundred patients who were admitted for various surgeries were selected for the study randomly. The study was conducted between November 2015 and July 2016. Two hundred patients were included in the study. Results: The overall infection rate was found to be 25 percent. In the case of clean surgical site of infection is found to be nil where as in the case of contaminated surgeries the rate infection rate was high. It was found the statistically significant. The complications faced during the surgery involved failing to see the proper field of vision at the surgical site, difficulty in approaching the site involved, bleeding and a significance higher level of surgery time involved. The post - operative complications were delayed wound healing at the surgical site, pain at the operated site, wound gaping and increased hospital stay. Conclusion: The study concluded that the pre-operative wound management is a necessity in cases where the wounds or the parts of the body to be operated are infected in order to minimize the complications faced during the operative and post-operative periods.