The goal of this clinical trial is to compare the outcomes of High-volume saline irrigation vs Povidone-iodine solution cleaning of the intraoperative incision wound in preventing superficial surgical site infections in patients undergoing emergency laparotomies. The main question it aims to answer are: * Incidence of SSI after intervention * Length of hospital stay Participants will be randomly assigned to two groups receiving either of the two groups: Group A: 1000ml of IOWI with saline solution prior to incision closure Group B: The incisional wound will be closed conventionally without irrigation. Researchers will compare groups A( experimental group) and B (control group) to compare the incidence of superficial surgical site infections after intervention.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
200
During emergency laparotomy, after the primary surgical procedure. the sheath will be sutured and the incision site will then be irrigated with three rounds of 1 liter of 0.9% saline solution, which will be completely aspirated before the closure of the incisional wound in experimental group.
No intra-operative wound lavage done, and wound would be cleaned with povidone doused swab.
Dr. Ruth K. M. Pfau Civil Hospital Karachi
Karachi, Sindh, Pakistan
RECRUITINGIncidence of Superficial Surgical site infections
Development of Superficial Surgical Site Infection as determined by the CDC guidelines.
Time frame: Upto 4 weeks post-operatively
Length of Hospital Stay
Number of in-hospital days (from time of admission to time of discharge)
Time frame: Upto 4 weeks post-operatively
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