PREVALENCE OF SURGICAL SITE INFECTION AFTER APPENDECTOMY: A NON RANDOMIZED CONTROLLED TRIAL STUDY

Abstract

Background: Objective: to find the overall prevalence of SSI after appendectomies and which treatment option faced more SSI incidence.
Design: non randomized controlled trail
Setting and patients: This present study included 250 cases diagnosed as appendicitis and operated on at surgical unit 3, Lahore General Hospital Intervention(s): patients underwent either laparoscopic or open appendectomy (OA) at surgical unit 3, Lahore General Hospital September 1, 2017 to April, 2019
Main Outcome Measure(s): prevalence of SSI
Result: Appendectomies were performed openly in 180 patients (OA group) and laparoscopically in 120 patients (LA group). The mean patient age was 30.7±8.4 years, with 180 men and 120 women. And body mass index (BMI) was higher significantly in the LA group than in the OA group. The overall SSI rate was different between the two groups (2.8% for the LA group vs. 11.11% for the LA group, respectively, P=0.204), but the superficial SSI rate was significantly lower in the LA group as compared to OA group (8.8% vs. 1.6%, P = 0.016).
Conclusion: The overall SSI prevalence after appendectomies is high. But the rate is more seen in patients with OA as compared to LA. In addition superficial SSI is more common type of infection in both groups.
Keywords: Laparoscopic, Appendectomy, Surgical-site infection