Factors affecting post-operative laparotomy wound complications

Despite the advances made in asepsis, antimicrobial drugs, sterilization and operative technique, post-operative wound problems continue to be a major threat. Clean sound healing of laparotomy wound after any intra-abdominal procedure is a cardinal index of good surgical repair. Post-operative wound problems delays recovery and often increases stay and may produce lasting sequel and require extra resources for investigations, management and nursing care, therefore its prevention is relevant to quality patient care. Post-operative wound problems seldom causes death, yet it does prove to be an economic burden on patient and on health system and induce psychological trauma to the surgeon as it robs his hours of dedicated work on operating table and good carrier. Considering wound problems is quite common in developing countries like India the present study was taken up to find out the incidence of post-operative wound problems and factors that influence its occurrence. Present study aimed to discover the sound, ideal method for the abdominal wound closure with regard to the problems associated with laparotomy wound.