Comparison of superficial surgical site infection between delayed primary and primary wound closures in ruptured appendicitis
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...
Saved in:
Main Authors: | , , |
---|---|
Other Authors: | |
Format: | Article |
Published: |
2018
|
Subjects: | |
Online Access: | https://repository.li.mahidol.ac.th/handle/123456789/34699 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Institution: | Mahidol University |
id |
th-mahidol.34699 |
---|---|
record_format |
dspace |
spelling |
th-mahidol.346992018-11-09T09:56:08Z Comparison of superficial surgical site infection between delayed primary and primary wound closures in ruptured appendicitis Boonying Siribumrungwong Kanoklada Srikuea Ammarin Thakkinstian Thammasat University Hospital Mahidol University Medicine 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. 2018-11-09T02:56:08Z 2018-11-09T02:56:08Z 2014-01-01 Article Asian Journal of Surgery. Vol.37, No.3 (2014), 120-124 10.1016/j.asjsur.2013.09.007 02193108 10159584 2-s2.0-84903535036 https://repository.li.mahidol.ac.th/handle/123456789/34699 Mahidol University SCOPUS https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84903535036&origin=inward |
institution |
Mahidol University |
building |
Mahidol University Library |
continent |
Asia |
country |
Thailand Thailand |
content_provider |
Mahidol University Library |
collection |
Mahidol University Institutional Repository |
topic |
Medicine |
spellingShingle |
Medicine Boonying Siribumrungwong Kanoklada Srikuea Ammarin Thakkinstian Comparison of superficial surgical site infection between delayed primary and primary wound closures in ruptured appendicitis |
description |
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. |
author2 |
Thammasat University Hospital |
author_facet |
Thammasat University Hospital Boonying Siribumrungwong Kanoklada Srikuea Ammarin Thakkinstian |
format |
Article |
author |
Boonying Siribumrungwong Kanoklada Srikuea Ammarin Thakkinstian |
author_sort |
Boonying Siribumrungwong |
title |
Comparison of superficial surgical site infection between delayed primary and primary wound closures in ruptured appendicitis |
title_short |
Comparison of superficial surgical site infection between delayed primary and primary wound closures in ruptured appendicitis |
title_full |
Comparison of superficial surgical site infection between delayed primary and primary wound closures in ruptured appendicitis |
title_fullStr |
Comparison of superficial surgical site infection between delayed primary and primary wound closures in ruptured appendicitis |
title_full_unstemmed |
Comparison of superficial surgical site infection between delayed primary and primary wound closures in ruptured appendicitis |
title_sort |
comparison of superficial surgical site infection between delayed primary and primary wound closures in ruptured appendicitis |
publishDate |
2018 |
url |
https://repository.li.mahidol.ac.th/handle/123456789/34699 |
_version_ |
1763493751391518720 |