Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
Online ISSN : 1882-4781
Print ISSN : 1340-2242
ISSN-L : 1340-2242
Reviewing Surgical Site Infection After Surgery for Acute Appendicitis
Yu SawadaHirotoshi AkiyamaRyusei MatsuyamaTomoko WadaItaru Endo
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Keywords: SSI
JOURNAL FREE ACCESS

2012 Volume 32 Issue 6 Pages 1027-1031

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Abstract

Surgical site infection (SSI) is the most frequent post-appendectomy complication. SSI adversely affects the length of hospitalization, quality of life, other postoperative outcomes, and costs. We reviewed the prevention of SSI after surgery for acute appendicitis. It was previously reported that a wound protection device, laparoscopic approach, and synthetic absorbable sutures reduced the incidence of SSI after appendectomy, but SSI standardized guidelines for prophylaxis of SSI after appendectomy have not been established. We studied the risk factors of SSI in our hospitals which are included in the Yokohama Clinical Oncology Group. In a multivariate analysis, paramedian or midline incision (p=0.020), intraabdominal drain (p<0.001), and gangrenous appendicitis (p=0.001) were significant predictors of incisional SSI. Blood loss (p=0.018) and intraabdominal drain (p=0.002) were significant predictors of organ / space SSI. In some patients with gangrenous appendicitis, a device for protecting the wound was used. However, there was no significant difference in the rate of SSI between patients with or without such protection. Further study for the prevention of SSI after an appendectomy, especially in patients with gangrenous appendicitis, is required.

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© 2012 Japanese Society for Abdominal Emergency Medicine
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