مقايسه عوارض زودرس زخمهاي جراحي در دو روش جراحي باز و لاپاراسكوپي در بيمارستان ميلاد

A Comparison of the early complications of surgical wounds in two methods of open surgery and laparoscopy in Milad Hospital

Introduction: The complications of surgical wounds (esp. wound infections) are considered as a major problem in surgery wards. Complications of surgical wounds are classified as early and late complications. Among the common and early complications are hematoma, seruma and wound infection. In the recent years, the modern technology especially. Laparoscopic intervention has brought about great developments in general and specific surgical operations. Material and Methods: This study was carried out on 210 bedridden patients operated in Milad Hospital during the years 82-84 .The patients were classified into two groups:group A(106 patients) and group B (104 patients ) were operated by open surgery and laparoscopy, respectively. The patients were candidate for the two methods on a randmized basis and the statistical test used was proportional test carried out in experimental method and in the from of clinical trial. Results: Out of 210 patients ,there were 130 female and 80 male patients. The rates of relative frequency of early complications were 8 and 1 respectively among 106 patients having undergone open surgical operations and 104 patients having undergone laparoscopic operations (P<0.05). Conclusion: This study proves that there are fewer early complications of surgical wounds under method, tissue damage is smaller so there will be smaller dissection and since vascular damage is smaller, early complications less frequently.