To identify independent risk factors for Surgical Site Infection in open vs laparoscopic appendectomy vs laparoscopic converted into open for acute appendicitis

Abstract

Background & Methods: The aim of the study is to identify independent risk factors for Surgical Site Infection in open vs laparoscopic appendectomy vs laparoscopic converted into open for acute appendicitis. The present study was conducted as an observational study on patients who underwent appendectomy for acute appendicitis at Department of Surgery, People’s College of Medical Sciences and Research Centre and associated People’s Hospital Bhopal.
Results: Blood investigations between the patients of three groups. Mean ESR and WBC were significantly higher in Laparoscopy converted to open group whereas mean CRP was significantly higher in open appendectomy group. Overall, WBC, ESR and CRP were
significantly lower in laparoscopic appendectomy group (p<0.05).
Conclusion: Appendectomy is most common surgical procedure performed in day to day practice. Laparoscopic surgeries are preferred over open surgeries by patients in terms of better cosmesis. But only cosmesis is not the issue for treating surgeon, the rate of surgical site infections, a factor associated with increased morbidity and mortality is one of the major concern. The risk of surgical site infections was higher in laparoscopic converted to open surgery and open appendectomy as compared to laparoscopic surgeries. Surgical site infection is associated with superficial and deep infections as well as organ space infections