Outcomes of Applying and Not Applying Self-Retaining Retractor in Emergency Abdominal Surgery
Outcomes of Emergency Abdominal Surgery
Keywords:
self-retaining abdominal retractor, difficult abdominal closure, emergency abdominal surgeryAbstract
Closure abdominal wall is an important step to strengthen and protect against infection. But some patients are unable to cover the abdominal wall. The purpose of this analytical study was to compare the surgical outcomes among patients who used and did not use self-retractor at the start of surgery. Retrospective study of medical records of patients at Buddhachinaraj Hospital who underwent emergency or urgent abdominal surgery between January 2016 and December 2020 was performed. Patients who received emergency abdominal surgery from accident/appendicitis and patients diagnosed with pancreatitis were excluded. A total of 1,504 patients, the sample size of 180 were divided into groups, 60 and 120 patients who had used and had not used self-retractor since the initiation surgery. Group used self-retractor all 60 patients able to close. Another group able to close 111 (92.5%), (p = 0.031). Wound dehiscence in five patients (8.3%) compared with two patients (1.7%), respectively (p = 0.042). Length of stay in hospital for more than seven days in 42 patients (70%) and 85 patients (70.8%), respectively (p = 0.908). The deaths were 8 (13.3%) and 21 (17.5%), respectively (p = 0.473). Then, patients who use self-retractor at the start of surgery can
close the abdomen significantly more than those who do not use it. However, wound dehiscence is significantly higher as well. The length of hospital stay and the mortality rate are not different.
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