Surgical site infection in open versus laparoscopic appendectomy

Objective: to compare the frequency of wound infection in open and laparoscopic appendectomy. materials and methods: this randomized control trial study was conducted in the department of surgery,jinnah hospital,lahore from 4th april 2012 to 4th october,2012. two hundred patients of appendicitis were admitted through emergency department. patients were randomly allocated to two groups; group la (laparoscopic appendectomy) and group oa (open appendectomy). both groups underwent appendectomy under general anesthesia. wound was inspected on 1st,2nd and 3rd postoperative day followed by wound inspection on 7th and 14th postoperative day and scored according to wound asepsis score. total score was then calculated and ssi was classified accordingly. results: this study includes a total of 200 patients of appendectomy. the mean age in laparoscopic appendectomy (la) was 21.0�8.32 years and mean age in open appendectomy (oa) was 23.49�8.68 years. in group la,65 were males and 35 were females while in group oa,46 were males and 54 were females. male to female ratio in la group was 1.9:1 while in group oa,it was 1:1.2. ninety nine patients healed uneventfully and 1 patient had surgical site infection in group la while in oa group,90 patients healed uneventfully and 10 patients had surgical site infection. conclusion: laparoscopic appendectomy is a better and safe option as compared to open appendectomy. it significantly reduces post operative complications like wound infection. � 2016,lahore medical and dental college. all rights reserved.