Publication: Comparison of superficial surgical site infection between delayed primary and primary wound closures in ruptured appendicitis
Issued Date
2014-01-01
Resource Type
ISSN
02193108
10159584
10159584
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2-s2.0-84903535036
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Mahidol University
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SCOPUS
Bibliographic Citation
Asian Journal of Surgery. Vol.37, No.3 (2014), 120-124
Suggested Citation
Boonying Siribumrungwong, Kanoklada Srikuea, Ammarin Thakkinstian Comparison of superficial surgical site infection between delayed primary and primary wound closures in ruptured appendicitis. Asian Journal of Surgery. Vol.37, No.3 (2014), 120-124. doi:10.1016/j.asjsur.2013.09.007 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/34699
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Title
Comparison of superficial surgical site infection between delayed primary and primary wound closures in ruptured appendicitis
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Abstract
Background Delayed primary (DPC) and primary (PC) wound closures have been applied in ruptured appendicitis, but results were controversial. This study aims at comparing the rate of superficial surgical site infection (SSI) in ruptured appendicitis between DPC and PC. Methods A retrospective cohort of ruptured appendicitis was conducted between October 2006 and November 2009. Demographic, operative findings and postoperative infection data were retrieved. The superficial SSI rates between groups were compared using an exact test. An odds ratio of SSI was then estimated. Results One-hundred and twenty eight patients with ruptured appendicitis were eligible and their data were retrieved; 115 (90%) patients had received DPC and 13 (10%) patients had received PC. The SSI rate was much lower in PC patients than in DPC patients, i.e., 7.7% [95% confidence interval (CI): 0.02, 36.0] versus 27.8% (95% CI: 19.9, 37.0), respectively. There was an approximately 72% lower risk of SSI in the PC group than in the DPC group, but this did not reach statistical significance (p = 0.18). Conclusion Our study suggested that PC does not increase risk of SSI in low SSI risk patients with ruptured appendicitis. DPC should not be routinely done. © 2013, Asian Surgical Association. Published by Elsevier Taiwan LLC. All rights reserved.