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Comparative Study
. 2020 Aug;17(4):957-965.
doi: 10.1111/iwj.13347. Epub 2020 Apr 7.

Comparison of laparoscopic and open appendectomy on wound infection and healing in complicated appendicitis

Yılmaz Güler  1 , Zülfikar Karabulut  2 , Hasan Çaliş  2 , Serkan Şengül  2
Affiliations
Comparative Study

Comparison of laparoscopic and open appendectomy on wound infection and healing in complicated appendicitis

Yılmaz Güler et al. Int Wound J. 2020 Aug.

Abstract

The aim of this study was to investigate the effects of laparoscopic and open surgery on the development of postoperative surgical wound infection and wound healing between complicated appendicitis patients. Patients with complicated appendicitis were divided into those underwent laparoscopic and open surgical procedures according to the surgical method. Patients were followed up with regard to development of any postoperative wound infection, and medical, radiological, and surgical treatment methods and results were recorded. A total of 363 patients who underwent appendectomy were examined, of which 103 (28.4%) had complicated appendicitis. Postoperative wound infection rate in patients who underwent open surgery was 15.9%, while it was 6.8% in the laparoscopic surgery group. There was no statistically significant difference between the two groups in terms of infection development rates (P > .05). The rate of surgical drainage use and rehospitalisation was significantly higher in the group with wound infection than in the group without wound infection. (P < .05). We suggest that in terms of wound infection and wound healing, laparoscopic surgery should be the method of choice for patients with complicated appendicitis. In order to reduce the frequency of wound infection, drains should not be kept for a long time in patients undergoing appendectomy.

Keywords: complicated appendicitis; infection; laparoscopic appendectomy.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Rate of rehospitalisation was significantly higher in patients with wound infection than those without wound infection, and the use of surgical drainage was found to be significantly higher in the group with wound infection
See this image and copyright information in PMC

References

    1. Anderson JE, Bickler SW, Chang DC, Talamini MA. Examining a common disease with unknown etiology: trends in epidemiology and surgical management of appendicitis in California, 1995‐2009. World J Surg. 2012;36:2787‐2794. - PubMed
    1. Perez KS, Allen SR. Complicated appendicitis and considerations for interval appendectomy. JAAPA. 2018;31(9):35‐41. - PubMed
    1. Maxfield MW, Schuster KM, Bokhari J, McGillicuddy EA, Davis KA. Predictive factors for failure of nonoperative management in perforated appendicitis. J Trauma Acute Care Surg. 2014;76(4):976‐981. - PubMed
    1. Sallinen V, Akl EA, You JJ, et al. Meta‐analysis of antibiotics versus appendicectomy for non‐perforated acute appendicitis. Br J Surg. 2016;103:656‐667. - PMC - PubMed
    1. Samdani T, Fancher TT, Pieracci FM, Eachempati S, Rashidi L, Nash GM. Is interval appendectomy indicated after non‐operative management of acute appendicitis in patients with cancer? A retrospective review from a single institution. Am Surg. 2015;81(5):532‐536. - PMC - PubMed

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