Background: Cesarean section is one of the commonest hospital based surgical procedure in obstetric mainly done to facilitate delivery in case where vaginal delivery is either not feasible or poses undue risk to mother, baby or both. The most common complications of CS are superficial surgical site complications including sepsis, seroma formation and breakdown. Methods: A prospective study done on 100 patients admitted in labour room of Department of Obstetrics and Gynaecology, Kamla Raja Hospital, G.R.M.C., Gwalior between November 2015 to March 2016. Study divided into two groups: group I, including women who had no subcutaneous drain left and group II, including women who had a subcutaneous drain left before closure of the skin; Each group has 50 patients. The study included term pregnant women with pre-operative Hb 9 gm%, BMI 30 kg/msup2/sup and were taken for emergency cesarean sections (for cephaloppelvic disproportion, fetal distress, abnormal presentations) with no intraoperative complications (hemorrhage, blood transfusion). Results: VAS median grade in patients without drain was G3 (46%), followed by G2 (28%), G4 (14%). VAS median grade in with drain group was G2 (68%), followed by G1 (24%) and then G3 (08%). Wound infection was noted in 4 (08%) patients in both the groups. Both groups were administered same group of intravenous antibiotics for 5 days. The mean hospital stay in patients without drain were 9.4 days and patients with drain were 8.2 days. The mean haemoglobin in patient with drain was 8.6 gm% and patients without drain was 9.4 gm%. Wound seroma in 13 cases and superficial breakdown in 4 cases in non-drain group versus 5 cases and 2 cases in drain group respectively. There is significant difference in postoperative pain and non-significant difference in postoperative fever. Conclusions: Patients in with drain group have reduced rates of wound seroma, postoperative pain, shorter hospital stay, but there is insignificant benefit regarding post-operative fever, superficial SSI, wound breakdown and hemoglobin concentration.
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机译：背景：剖宫产术是产科中最常见的基于医院的外科手术之一，主要用于在无法进行阴道分娩或对母亲，婴儿或两者造成不必要风险的情况下促进分娩。 CS最常见的并发症是浅表手术部位并发症，包括败血症，血清肿形成和破裂。方法：前瞻性研究于2015年11月至2016年3月间对100名患者在Gwalior的GRMC Kamla Raja医院妇产科的分娩室进行了研究。研究分为两组：I组，包括没有皮下引流的女性左和第二组，包括在闭合皮肤前留下皮下引流的妇女;每组有50名患者。该研究纳入了术前Hb> 9 gm％，BMI> 30 kg / m 2 的足月孕妇，并进行了紧急剖宫产（因头盆骨比例失调，胎儿窘迫，异常表现）而无术中并发症（出血，输血）。结果：无引流的患者的VAS中位评分为G3（46％），其次是G2（28％），G4（14％）。排水组的VAS中位数等级为G2（68％），其次是G1（24％），然后是G3（08％）。两组中有4名（08％）患者出现伤口感染。两组均给予同一组静脉抗生素治疗5天。无引流患者的平均住院天数为9.4天，有引流患者的平均住院天数为8.2天。引流患者的平均血红蛋白为8.6 gm％，无引流患者的平均血红蛋白为9.4 gm％。非引流组创面血肿13例，表浅破裂4例，引流组分别为5例和2例。术后疼痛有显着差异，术后发烧差异无统计学意义。结论：引流组患者的伤口血清瘤发生率降低，术后疼痛减轻，住院时间缩短，但对术后发烧，浅表性SSI，伤口破裂和血红蛋白浓度的益处不明显。
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