Wound Management in Gynaecological Surgery: A Tertiary Care Hospital Study in Bangladesh

Author(s): Sabrin Farhad, Bipul Kumar Biswas, Shamima Haque Chowdhury, Roknuzzman

Background: Wound infection is one of the most prevalent problems associated with surgical therapy, accounting for a large amount of morbidity in gynae-cologic surgical hospitalizations. To avoid potential problems like surgical-site infections and wound dehi-scence, it's critical to care for post-operative wounds properly in the community.

Objective: The objective of the study was to assess the prevalence of wound infection and its management system in gynecological surgery in a tertiary care hospital in Bangladesh.

Method: This cross-sectional study was conducted from January 2019 to December 2020 at Uttara Adhu-nik Medical College & Medical College Hospital, Dhaka, Bangladesh. This study was purposively con-ducted among 220 female patients who were admitted to the obstetrics & gynaecology department with gyn- aecological wounds & their infections.

Results: Among 220 patients, 12.7% of patients were below 20 years old and the maximum number of patients (46.3%) were between 20 to 29 years old. 60% of patients’ socioeconomic status was a middle-class state. The rate of antibiotic prophylaxis was higher (31%) in combined surgery patients, length of hospital stay was higher among vaginal surgery patients, rehos-pitalization was observed higher (29%) among abdo-minal surgery patients, and most repeated surgeries were found to be higher (24%) in abdominal surgery patients. Maximum patients (31.8%) had hypertension and minimum patients (3.86%) had fever on admis-sion. Maximum patients (33%) had operative site infection and minimum patients (6%) had post-operative ileus.

Conclusion: Optimal surgical wound management is a crucial component of post-operative recovery, and health care practitioners should keep an eye on the progress of acute wound healing, prevent wound problems, and treat them correctly if they occur.