Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 14 , ISSUE 4 ( July-August, 2022 ) > List of Articles


The Role of Peritoneal Toileting and Abdominal Drainage during Exploratory Laparotomy for Hemoperitoneum due to Gynecological and Obstetrical Etiology

Sarbeswar Mandal, Chaitali Karmakar, Abha Aishwarya, Nisha Yadav, Ayesha Khatun, Amitava Mandal

Keywords : Abdominal toileting and drain, Beneficial/harmful, Exploratory laparotomy, Hemoperitoneum

Citation Information : Mandal S, Karmakar C, Aishwarya A, Yadav N, Khatun A, Mandal A. The Role of Peritoneal Toileting and Abdominal Drainage during Exploratory Laparotomy for Hemoperitoneum due to Gynecological and Obstetrical Etiology. J South Asian Feder Obs Gynae 2022; 14 (4):429-434.

DOI: 10.5005/jp-journals-10006-2075

License: CC BY-NC 4.0

Published Online: 22-08-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Aims and objectives: The role of abdominal drainage and peritoneal toileting/irrigation as beneficial or harmful, to compare between two groups, the evidence-based usefulness, and to evaluate the effect of postoperative morbidity. Type of study: Prospective randomized control study, clinical trial, comparative study, research journal publication. Materials and methods: After getting ethical approval, this research work was carried out in the Department of Obstetrics and Gynaecology in the Institute of Post-Graduate Medical Education and Research—Seth Sukhlal Karnani Memorial (SSKM) Hospital, Kolkata, West Bengal, India, with proper diagnosis, selection, and allocation of total 66 cases for exploratory laparotomy for hemoperitoneum in different gynecological and obstetrics indications was categorized into two cohorts of Gr-DI-n-33 (abdominal drainage and peritoneal toileting/irrigation) and Gr-Non-DI-n-33 (no abdominal drainage drain and peritoneal toileting/irrigation). As per the standard data collecting procedure, we had collected data from two groups [Gr-DI (n = 33) and Gr-NDI (n = 33)], the results of each group in the form of primary and secondary outcomes elaborated and the statistical significance analyzed and calculated with the help of GraphPad Software and expressed in Tables 1 to 3. Result: The peritoneal irrigation and abdominal drainage in this operation (exploratory laparotomy for hemoperitoneum in different gynecological and obstetrics indications) are not required, and in fact, these procedures cause increased adverse events. In our study, it had been established that placement of such drain is not only beneficial but also unnecessary. At the same time, it had been revealed that it was time-consuming, prolongation of hospital time, and increased wound infection rate. Conclusion: In this research study, there were minimal complications with the help of broad spectrum antibiotics and primary wound closure without peritoneal irrigation and abdominal drainage. With coverage of potent, high-level antimicrobial in such complicating operations, there was no need of such procedures.

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