ANALYSIS OF PLACEMENT OF INTRA PARIETAL DRAINS IN SEPTIC ABDOMINAL INJURIES

Introduction: The trauma laparotomy has undergone several revolutionary changes over the past few decades. Aims and objectives: The main objective of the study is to analyse the placement of intra parietal drains in septic abdominal injuries. Material and methods: This analytical study was conducted in Allama Iqbal Memorial Teaching Hospital, Sialkot during November 2018 to March 2019. The data was collected from surgical department of the hospital. The data was collected from 100 patients of abdominal injuries. Patients underwent exploratory laparotomy with a standard midline incision with subsequent repair of all traumatic injuries identified. Additional exclusion criteria at this juncture included using the open abdomen technique, intrabdominal vascular implants (but not primary repairs) and the presence of abdominal injuries. Results: The data was collected from 100 patients of abdominal injuries. The overall mortality rate was 1.96% (4/100) with no significant differences among the three groups. Among the survivors, no differences were noted within the groups with respect to contamination, wound infection, fistula formation, and evisceration rates. The diagnosis of intra-abdominal abscess required radiographic identification by computed tomography or ultrasonography, and confirmation of infection by open or percutaneous drainage and culture. Conclusion: It is concluded that the practice of irrigating the abdomen with large volumes of saline should be avoided in trauma patients