Comparing of appendectomy incision closure with and without the use of sutures in the subcutaneous tissue

The main objective of this study is to compare wound infection after appendectomy incision closure with or without the use of sutures in the subcutaneous tissues. This study is performed for one year through a randomized clinical trial in general surgery ward of Imam Reza Hospital in Kermanshah. They study patients with clinical diagnosis of appendicitis who will be operated. inclusion criteria: patients are who were operated with clinical diagnosis of appendicitiss. exclusion criteria :Patients with complicated appendicitis (perforated and peritonitis); The underlying diseases (diabetes mellitus, acquired or intrinsic Immunodeficiency); immunosuppressive drugs; inability to follow patients.The number of samples is 208 which are divided into two groups of A and B with 103 and 105 patients respectively. The classifying method for each of the groups A and B is simple random also the patients are randomly assigned to each of the two groups. The operation sites are shaved in all patients before surgery and are operated through appendectomy with Mcburny cut under general anesthesia .In group A, Appendectomy incision closure is performed through separately Subcutaneous suture technique using Vicryl thread and Skin healing with nylon sutures in a vertical mattress and in group B with no subcutaneous sutures and skin closing just like the first group. Patients refer to the clinic four times after operation: third and seventh day, one and three months after to follow up. In the visits, the surgeon will examine the patient for signs of infection, Presence of purulent discharge from the wound, the pain at the wound site, warmth, swelling or erythema and fever.

Kermanshah University of Medical Sciences