Comparison of Wound Infection in Uncomplicated Acute Appendicitis by Subcuticular Suture and Interrupted Suture

(E-pub Abstract Ahead of Print)

Author(s): Farshad Zarei, Mojtaba Ahmadinejad*

Journal Name: Infectious Disorders - Drug Targets
Formerly Current Drug Targets - Infectious Disorders

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Background: Postoperative complications such as; wound infection and scaring are some of the major concerns regarding suturing techniques. This study is designed to evaluate post-operative outcomes of adhering subcuticular sutures in comparison to interrupted suturing method in patients who underwent appendectomy for uncomplicated acute appendicitis.

Methods: 240 patients were randomly assigned into two groups; 120 with interrupted and 120 subcuticular sutures after appendectomy, at Shohada Ashayer hospital, Khorramabad, Iran. The prevalence of wound infection, three days after the surgery in the hospital and a week after discharged was determined and evaluated statistically.

Results: No wound infection was seen within three days of hospitalization in subcuticular group whereas, 1 patient reported infection in interrupted group, however the difference was not statistically significant. A week after discharge, a patient was reported to have wound infection in subcuticular group and 2 in interrupted group. No significant difference was seen in this regard either. 55 females and 66 males received subcuticular sutures whereas, 74 males and 46 females were given interrupted sutures for wound closing. One male in interrupted and 1 male and female subcuticular group was referred for wound infection, after discharge, respecitvely. Among these groups, no significant differences were seen. In catarrhal appendicitis, infection was reported in interrupted group only which was not statistically significant.

Conclusions: Subcuticular sutures provide better cosmetic outcomes without any additional complications in comparison to interrupted sutures.

Keywords: Wound infection, Subcuticular sutures, Interrupted sutures, Appendicitis, Suturing technique, Appendectomy

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Article Details

(E-pub Abstract Ahead of Print)
DOI: 10.2174/1871526521666210114160130
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