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Impact of Wound Irrigation During Laparoscopic Appendectomy on Surgical Site Infection in Acute Appendicitis: A Multicenter Retrospective Analysis

Journal of Surgical Infection 2021년 6권 1호 p.13 ~ 19
남수민, 박윤영, 정진옥,
소속 상세정보
남수민 ( Nam Soo-Min ) - National Health Insurance Service Ilsan Hospital Department of Surgery
박윤영 ( Park Youn-Young ) - Catholic University College of Medicine Uijeongbu St. Mary’s Hospital Department of Surgery
정진옥 ( Cheong Chin-Ock ) - Korea University College of Medicine Korea University Guro Hospital Department of Surgery

Abstract


Objectives: Surgical site infection (SSI) is one of the major complications after appendectomy. Among the many efforts to reduce variable risk factors, subcutaneous wound irrigation has been reported in some abdominal surgeries. However, there are no relevant literatures regarding patients who underwent laparoscopic appendectomy. This study aimed to determine the effect of wound irrigation before skin closure when performing laparoscopic appendectomy.

Methods: We included patients who had undergone laparoscopic appendectomy due to acute appendicitis from March 2017 to October 2019 from three hospitals. Clinical data of 333 patients were retrospectively collected, and we divided 333 patients into three groups according to the method of wound irrigation: no irrigation (n=93), saline irrigation (n=144), and povidone-iodine (n=96) groups.

Results: A total of 15 patients (4.5%) were diagnosed with SSI within postoperative 30 days. There was no difference in the SSI rates (4.3% vs. 5.1% vs. 4.5%, p=0.953). None of the factors were associated with SSI among the variables (sex, age, American Society of Anesthesiologists score, perforated appendicitis, preoperative white blood cell and hemoglobin levels, operation time, wound irrigation, type of wound closure material, and preoperative and postoperative fever).

Conclusion: Wound irrigation did not affect the SSI rate in patients who underwent laparoscopic appendectomy.

키워드

Surgical wound infection; Appendectomy

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