To close or not to close? A systematic review and meta-analysis of wound closure in appendicectomy

Hureibi, Khalid; Abraham, Pradip; Al-Sunidar, Osama; Alaraimi, B.; Elzaidi, Elgeilani M.

doi:10.1016/j.ijso.2018.11.006

Cited by 1 publication

(2 citation statements)

References 23 publications

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“…OR=0.60, 95% CI: 0.23-1.54. 10 Wound infection is an extremely cumbersome morbidity for the patients. It not only increases hospital stay but also leads to poor scar and social burden on patients and their family.…”

Section: Discussionmentioning

confidence: 99%

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Superficial Surgical Site Infection after Primary Closure Versus Delayed Primary Closure of Wound in Perforated Appendicitis

Sahrish¹,

Kaludi²,

Ayub³

et al. 2021

J. Bahria Univ. Med. Dent. Coll.

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Objective: To assess the superficial surgical site infection after primary closure versus delayed primary closure of wound in perforated appendicitis. Study Design and Setting: This was an observational study conducted at Darul Sehat Hospital & Civil Hospital Karachi during March 2019 to August 2019 Methodology: All patients of either gender between 18-50 years of age undergoing open Appendectomy through standard gridiron incision in emergency having consented for participation in the study prior to surgery and with per-operative finding of perforated appendix in emergency were included. Patients on steroids or immunosuppressive agents, smoker staking 5 or more cigarettes per day, patients with history of Diabetes Mellitus, chronic liver disease and chronic renal failure were excluded from the study. Patients with perforated appendix were randomly allocated into two Groups. Group A received delayed primary closure at 3rd post-operative day while in Group B primary closure was done immediately after appendectomy. All patients were examined for signs and symptoms of superficial surgical site infection at the 5th postoperative day before discharge from the hospital. SPSS version 13 was used for data analysis. Chi square test was applied to compare the outcome (superficial surgical site infection) in both groups. P-value <0.05 was considered as significant. Results: A total sixty patients were allocated in each group. Wound infection was very high among patients with immediate closure (40%) as compared to group which received delayed primary closure (15%) (p=0.020). Conclusion: The superficial surgical site infection was significantly higher after primary closure versus delayed primary closure of wound in perforated appendicitis.

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Section: Discussionmentioning

confidence: 99%

“…8,9 Several studies and randomized controlled trials (RCTs) have tried to answer this question in the past, with mixed results. 10,11 Meka et al concluded that the risk of SSI in ruptured appendicitis showed no difference between PC and DPC techniques. In low-risk SSI patients, PC does not increase the risk of SSI.…”

Section: Introductionmentioning

confidence: 99%