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November 27, 2023Pakistan Journal of Medical & Health Sciences

Comparison of Superficial Surgical-Site Infection Rates between Primary and Delayed Primary Wound Closure in Open Appendectomy for Gangrenous or Perforated Appendicitis

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Authors

AHArshad Hussain HashmiFAFelipe-Rucián AnaSMSara Fatima Memon

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Overview

Comparative study shows delayed primary closure reduces infection rates in appendectomy cases, implying better outcomes for surgical practices.

Key Points

  • Delayed primary closure significantly reduces superficial surgical-site infection rates, leading to fewer complications.
  • In a trial of 80 adults with complicated appendicitis, SSI occurred in 35% of primary closure vs. 15% in delayed closure.
  • This comparative study analyzed outcomes using continuous and categorical data across two major hospitals in Pakistan.
  • While delayed primary closure shortens hospital stays, it temporarily increases wound care demands and patient discomfort.

Cite This Study

Hashmi et al. (2023) studied this question.

synapsesocial.com/papers/68af80717567bf4f94ff71cdhttps://doi.org/10.53350/pjmhs20231711232
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1OUTCOME OF PRIMARY VERSUS SECONDARY CLOSURE OF MIDLINE LAPAROTOMY WOUNDS IN PATIENTS WITH PERITONITIS SECONDARY TO ILEAL PERFORATION2025
  2. 2Comparison of Frequency of Surgical Site Infection in Patients of Peritonitis Undergoing Laparotomy with Closed Wound and Drain Placed vs Open Wound Without Drain2025
  3. 3Comparison of surgical outcomes of laparoscopic and open appendectomy for perforated Appendicitis: A clinical experimental study assessing surgical site infections, operative time hospital stay and postoperative recovery.2025
  4. 4Effect of abdominal drain on surgical site infection undergoing laparoscopic appendectomy for perforated appendicitis in adults: a propensity score matching analysis2025 · 1 citations
  5. 5Subcuticular Suturing Versus Vertical Mattress Suture Technique after Open Appendectomy2023