Abstract
Aim: To compare the rate of wound infection in primary and delayed primary closure after gangrenous/perforated appendicitis
Methods: This prospective comparative study was conducted in department of Surgery Ar'ar Central Hospital, Ar'ar Saudi Arabia over a period from Jan 2018 to June 2019. Adult patients undergoing appendicectomy for gangrenous/perforated appendicitis were included. Eighty six patients were divided in two groups of 43 patients each. In Group-A, Primary closure and in Group-B delayed primary closure of wound was done. Main outcome measure was to compare rate of wound infection in both groups. Statistical significance was considered at P<0.05.
Results: There were total of 86 Patients who were included in the study. Out of these 86 patients, 52 (60%) were males and 34(40%) were females. Wound infection was seen in 7 patients (16.2%) in group A (primary closure), and in 5 patients (11.6%) in group B (delayed primary closure). These differences were statistically non-significant (p=0.53).
Conclusion: Primary wound closure is safe and can be performed after appendicectomy for gangrenous/ perforated appendicitis.