Post Operative Wound Infection after Open Appendictomy in Surgery Department CMH Rawalpindi
DOI:
https://doi.org/10.51253/pafmj.v75iSUPPL-6.8398Keywords:
Open appendectomy, Postoperative, Surgery, Wound infectionAbstract
Objective: To determine the frequency of post-operative wound infection after open appendectomy in surgery department of Combined Military Hospital Rawalpindi, Pakistan.
Study Design: Quasi-experimental study
Place and Duration of Study: Department of surgery, Combined Military Hospital, Rawalpindi, Pakistan from Jul to Dec 2021.
Patients and Methods: Patients aged 18 years and above of any gender of Diagnosed cases of acute appendicitis and undergoing open appendectomy were consecutively enrolled. Within 30 days following surgery, wound infection was defined as either incisional (superficial or deep) or organ/space wound infection.
Results: Of 122 patients, the overall wound infection was observed in 11(9%) patients. Of these 11 patients, incisional wound infection was observed in 7(63.6%) and organ/space wound infection in 6(54.5%) patients. The mean age of patients with no wound infection was considerably greater than that of patients with wound infection, i.e., 41.53±5.14 years and 37.27±5.58 years respectively (p-value 0.022). Diabetes (p-value: 0.006), IHD (p-value: 0.001), COPD (p-value: 0.039), 30 day rehospitalization (p-value: 0.001), ASA status (p value: 0.020), preoperative SIRS (p-value: 0.001), and wound classification (p value: 0.002) were all significantly higher in wound infection patients than in non-wound infection patients. Pulmonary infection 43(35.2%) was the most common postoperative complication.
Conclusion: Postoperative wound infection was observed in nine percent patients who underwent open appendectomy. Increased age, diabetes, IHD, COPD, preoperative SIRS, contaminated/dirty wound classification, and lower preoperative WBCs were significant risk factors.
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References
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