ROLE OF NUTRIENTS IN THE MANAGEMENT OF POSTOPERATIVE WOUND HEALING- A STUDY IN SOUTHERN ODISHA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 87
Abstract
BACKGROUND Nutrition deficiencies are prevalent and cause delayed wound healing in patients with wounds (both surgical and non-surgical). Exact role of nutritional supplements in management of wounds remain uncertain. This study was carried out to compare postoperative complication and outcome in patients who were admitted to undergo elective surgical interventions and role of oral nutritional supplements in it. MATERIALS AND METHODS A randomised controlled trial was conducted in Department of General Surgery, MKCG Medical College, Berhampur, Ganjam, Odisha, India. Duration of study was 1 year, carried out between July 2016 and June 2017. During the study period only 50 patients fulfilled the inclusion criteria and gave their verbal consent, so they were included in the study. Final sample size was 50 (convenient sampling). After patients were admitted in indoor for their elective surgery, they were randomly allocated in control (Group A) and study (Group B) according to their indoor registration number. Even numbers were allotted to control and odd numbers to study group. Pre- and post-operative oral nutritional supplements were given in study (Group B) group and was compared with control group (who did not receive any oral nutritional supplements) in terms of gastrointestinal complications, wound complication and period of hospital stay. RESULTS Local postoperative wound complications were found to be more in the control group than study group. Similarly, gastrointestinal complications like abdominal cramps, distention, diarrhoea and vomiting were found to be more in control group; 20 (80%) patients of study Group B had no post-surgical wound complication and 18 (72%) patients of study Group B had no gastrointestinal complications. The patients of study Group B were discharged within 7 - 10 postoperative days, whereas control Group A patient had to stay at hospital for a prolonged period and were discharged in between 20th - 25th postoperative day. CONCLUSION Preoperative and postoperative Oral Nutritional Supplements as studied helps in wound healing. Micro- and macro-nutrients are essential for tissue repair and good skin condition. Such approach reduces postoperative wound and gastrointestinal complication, early wound healing and even duration of hospital stay and cost.
Authors and Affiliations
Bipin Kishore Bara, Sibaprashad Pattanayak, Binoy Kumar Maharana, Manoj Kumar Behera, Tapan Kumar Malla, Manish Kumar
Keywords
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- EP ID EP277668
- DOI 10.14260/jemds/2017/1301
- Views 84
- Downloads 0
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