Özet:

Objective: To evaluate the frequency of surgical site infection after pressure saline irrigation in open appendectomy for uncomplicated and complicated cases. Study Design: Quasi-experimental study. Place and Duration of Study: Surgical Department, Combined Military Hospital, Rawalpindi Pakistan, from Sep 2017 to Mar 2018. Methodology: A total of 300 patients of both gender with inflamed appendix perioperative who underwent open appendectomy were included. The per-operative procedure and post-operative findings were recorded. The patients were grouped into experimental and control Groups on basis of whether saline irrigation was done or not. Then the patients were monitored again on 5th and 10th post-operative day for any surgical site infection. The maximum follow-up time was for a month. Results: Age range in this study was from 10-50 years with mean age of 29.280±6.40 years in Group-A while 29.446±8.28 years in Group-B. Male gender was dominant in both Groups. Surgical site infection was seen in 10(6.7%) patients in Group-A (saline irrigation Group) as compare to 35(23.3%) cases in Group-B (p<0.001). Pressure Saline irrigation did not significantly prevent surgical site infection in uncomplicated cases (p-value=0.331), however, it was effective in preventing infection in complicated cases (p-value<0.001 OR 0.074 95% CI 0.024-0.230). Conclusion: Saline syringe irrigation of wound is a nontoxic, economical, and easily available procedure in any operation theatre to decrease the rate of surgical site infection especially in complicated appendectomy. Downloads Download data is not yet available.

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