Infección de sitio quirúrgico tras apendicectomía urgente: tasa global y tipo según la vía de abordaje (abierta/laparoscópica)

Aranda-Narváez, José Manuel; Arjona, Tatiana Prieto-Puga; García-Albiach, Beatriz; Montiel-Casado, María Custodia; González-Sánchez, Antonio Jesús; Sánchez-Pérez, Belinda; García, Alberto Titos; Santoyo-Santoyo, Julio

doi:10.1016/j.eimc.2013.02.006

Cited by 14 publications

(10 citation statements)

References 13 publications

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“…Appendectomy for acute appendicitis is a common emergency surgical procedure (18,19). Open appendectomy has been the gold standard treatment for acute appendicitis since its description by McBurney in 1894 (20).…”

Section: Discussionmentioning

confidence: 99%

Surgical Wound Infections After Laparoscopic Appendectomy With or Without Using Reusable Retrieval Bag: A Retrospective Study

Lasheen

Elaziz

Elaal

et al. 2016

J Minim Invasive Surg Sci

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Background: Despite the reported advantages of laparoscopic appendectomy (LA), an ongoing debate exists about a possible increase in postoperative infectious complication rates. The analyses of risk factors associated with surgical site infections (SSIs) after LA, have been limited. Patients and Methods: One hundred twenty laparoscopic appendectomies performed over one year, were included in this retrospective study. The patients were divided into 2 group; group A was the one in which LA was done with using reusable retrieval bag and group B without using that. Demographic details, operative time, hospital stay and infective postoperative complications were recorded. Results: This patient groups were selected to be similar in both groups A and B in form of appendicitis types. Each group included 27 (45%) acute catarrhal appendicitis, 20 (33.3%) suppurative appendicitis and 13 (21.7%) perforated appendicitis, P = 1.0. The median patients ages were 21 years (range, 16 to 49) in group A and 25 years (range, 18 to 56) in group B, P = 0.053. Group A included 60 patients (35 males and 25 females) and group B 60 patients (32 males and 28 females), P = 0.071. Mean operative time in group A was 55.7 minutes and in group B was 57 minutes, P = 0.0231. Superficial wound infections were recorded in one patient (1.7%) in group A and in 8 patients (13.3%) in group B, P = 0.007. Intra-abdominal abscess formation was a complicated outcome in 2 patients (3.3%) of group B, P = 0.005. Mean hospital stay was 1.6 days in group A and 2.7 days in group B, P = 0.05. Conclusions: Surgical wound infections are less common by using reusable retrieval bag during laparoscopic appendectomy procedure. Also, using reusable retrieval bag has less cost.

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Section: Discussionmentioning

confidence: 99%

Surgical Wound Infections After Laparoscopic Appendectomy With or Without Using Reusable Retrieval Bag: A Retrospective Study

Lasheen

Elaziz

Elaal

et al. 2016

J Minim Invasive Surg Sci

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“…When comparing this result to different studies, a wild variation in the prevalence of SSI postappendectomy is found. In two studies in Europe, Petrosillo et al in 2008 had a total of 5.2% cases of SSI in a multicentric prospective study, while Aranda-Narvaez et al in 2014 had an overall SSI rate of 13.4% [17,18]. Two other studies in Egypt and Qatar found a rate of 21.9% and 3.6%, respectively [10,19].…”

Section: Discussionmentioning

confidence: 96%

Surgical Site Infection Post-appendectomy in a Tertiary Hospital, Jeddah, Saudi Arabia

Koumu¹,

Jawhari²,

Alghamdi³

et al. 2021

Cureus

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Background and purpose: Appendectomy considered at the top of emergency surgical procedures worldwide, and surgical site infection (SSI) is not an uncommon complication postoperatively. Many factors may be contributed to SSI occurrence; either during preoperative, intraoperative, or postoperative periods. No recent studies focusing on SSI post-appendectomy and the related factors in our region. So, we aim to find the prevalence and detect the factors that may lead to SSI in post-appendectomy patients at King Abdulaziz University Hospital (KAUH) between 2013 and 2017.Methods: This is a retrospective chart review study. Data were collected by data collection sheet from (KAUH) patient's database, as we include: patients' demographics, blood investigations, operation details, co-morbidities, and hospitalization time. All patients who underwent appendectomy between 2013 and 2017 were included. We used frequencies, Mann-Whitney U test, and binary logistic regression tests for data analysis.Result: SSI post-appendectomy was found in 31 patients out of 433. SSI was statistically significant related more with an open technique of appendectomy (p=0.0001), longer duration of the surgery (p=0.0001), perforated type of appendicitis (p=0.002), more hospitalization time (p=0.0004), postoperative lab results of high WBC count (p=0.004), and low albumin (p=0.011). Other factors including demographics and clinical characteristics, intraoperative, perioperative, and hemoglobin level showed no significant relations. Conclusion:Controlling the high rate of SSI by using the optimal technique of approach, decreasing the duration of the surgery, and early intervention may help more in reducing SSI post-appendectomy. Taking into consideration the other perioperative factors will lead to better outcomes for the patients.

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“…Cualquier tipo de cirugía supone un riesgo de infección, y en la apendicectomía, que es uno de los procedimientos quirúrgicos más realizados, se deben extremar los cuidados asistenciales 17 . La incidencia global de ISQ durante el periodo de estudio fue del 5.8%, y tras la aplicación de las medidas preventivas disminuyó del 6 al 5.6%; una cifra tan baja en nuestro medio no se encontró en la literatura revisada, en la que la mayoría de las series no descienden de un 8% de incidencia [18][19][20] . Al igual que en otros estudios, los microorganismos aislados con más frecuencia en pacientes con infección quirúrgica tras una apendicectomía fueron bacilos gramnegativos, en concreto E. coli y P. aeruginosa 21,22 .…”

Section: Discussionunclassified

“…Algunos trabajos evalúan la incidencia al alta de los pacientes sin hacer un seguimiento del periodo completo de riesgo 23 , lo que dificulta la comparación de las cifras de incidencia de infección si solo se sigue a los pacientes durante el ingreso hospitalario y no durante los 30 días tras la cirugía. Hasta la mitad de las infecciones en apendicectomías suceden tras el alta hospitalaria 18 . En nuestro caso, el seguimiento se ha realizado durante los 30 días del posoperatorio para no infravalorar la incidencia de ISQ.…”

Section: Discussionunclassified

Efecto de un Plan de Mejora de Calidad y Seguridad Clínica en la incidencia de infección de sitio quirúrgico en apendicectomía. Estudio cuasi-experimental

Del-Moral-Luque¹,

Sánchez-Santana²,

Gil-Yonte³

et al. 2018

CIRU

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Infección de sitio quirúrgico tras apendicectomía urgente: tasa global y tipo según la vía de abordaje (abierta/laparoscópica)

Cited by 14 publications

References 13 publications

Surgical Wound Infections After Laparoscopic Appendectomy With or Without Using Reusable Retrieval Bag: A Retrospective Study

Surgical Wound Infections After Laparoscopic Appendectomy With or Without Using Reusable Retrieval Bag: A Retrospective Study

Surgical Site Infection Post-appendectomy in a Tertiary Hospital, Jeddah, Saudi Arabia

Efecto de un Plan de Mejora de Calidad y Seguridad Clínica en la incidencia de infección de sitio quirúrgico en apendicectomía. Estudio cuasi-experimental

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