Pressure Saline Irrigation During Open Appendectomy and Its Impact on Surgical Site Infection in Complicated and Uncomplicated Appendictis

Muhammad Mudassar Liaquat; Anas Bin Saif; Shahzad Ahmed Abbasi; Shahrukh Tariq; Yousaf Haroon; Kashif Khan

doi:10.51253/pafmj.v73iSUPPL-1.3512

Authors

Muhammad Mudassar Liaquat Department of Surgery, FTC Kotli, Azad Jammu and Kashmir, Pakistan
Anas Bin Saif Department of Surgery, FTC Kotli, Azad Jammu and Kashmir, Pakistan https://orcid.org/0000-0002-0584-4697
Shahzad Ahmed Abbasi Combined Military Hospital, Multan/National University of Medical Sciences (NUMS) Pakistan
Shahrukh Tariq Department of Surgery, Combined Military Hospital, Nowshera /National University of Medical Sciences (NUMS) Pakistan
Yousaf Haroon Department of Surgery, Combined Military Hospital, Nowshera /National University of Medical Sciences (NUMS) Pakistan
Kashif Khan Department of Surgery, FTC Kotli, Azad Jammu and Kashmir, Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73iSUPPL-1.3512

Keywords:

Open appendectomy, Pressure saline irrigation, Surgical site infection

Abstract

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.