caa a22 4500 475801237 CHVBK 20180406123737.0 cr unu---uuuuu 170329e20000101xx s 000 0 eng 10.1007/s002689910008 doi (NATIONALLICENCE)springer-10.1007/s002689910008 Syringe Pressure Irrigation of Subdermic Tissue after Appendectomy to Decrease the Incidence of Postoperative Wound Infection [Elektronische Daten] [Carlos R. Cervantes-Sánchez, Rafael Gutiérrez-Vega, Jorge A. Vázquez-Carpizo, Patricia ClarkM.Sc., Cesar Athié-Gutiérrez] To evaluate syringe pressure irrigation of the surgical wound to decrease its infection after appendectomy, we designed a randomized control trial at the Emergency Department of Mexico City General Hospital, including 350 patients with acute abdomen suggestive of appendicitis, without any other infection clinically evident. The trial was randomized into 2 groups. Group I patients received prophylactic systemic antibiotics before surgery. Group II patients received the same prophylactic systemic antibiotics plus syringe pressure irrigation of the surgical wound with 300 ml of saline solution using a 20-ml syringe with 19-gauge intravenous (IV) catheter to measure the incidence of postoperative wound infection. In our results, 283 patients had appendicitis. Of these, 188 were uncomplicated (66.4%) and 95 (33.6%) were complicated. Of the complicated cases, 40 were assigned to group I, and of these, 29 (72.5%) developed wound infection. In group II there were 55 patients and only 9 (16.3%) developed wound infection after syringe pressure irrigation [p= 0.000001; 95% confidence interval (CI) = 0.02-0.22]. We conclude that syringe pressure irrigation of the surgical wound after appendectomy contributes significantly to decrease the incidence of postoperative wound infection in complicated cases. It is a cheap, safe, and accessible method in any surgical room. by the Société Internationale de Chirurgie, 2000 Cervantes-Sánchez Carlos R. Department of Surgery, Mexico City General Hospital, Dr. Balmis 148, Col. Doctores, 06726, México D.F., México, MX aut Gutiérrez-Vega Rafael Department of Surgery, Mexico City General Hospital, Dr. Balmis 148, Col. Doctores, 06726, México D.F., México, MX aut Vázquez-Carpizo Jorge A. Emergency Department, Mexico City General Hospital, Dr. Balmis 148, Col. Doctores, 06726, México D.F., México, MX aut ClarkM.Sc. Patricia Clinical Epidemiology Unit, Mexico City General Hospital, Dr. Balmis 148, Col. Doctores, 06726, México D.F., México, MX aut Athié-Gutiérrez Cesar Emergency Department, Mexico City General Hospital, Dr. Balmis 148, Col. Doctores, 06726, México D.F., México, MX aut World Journal of Surgery Springer-Verlag 24/1(2000-01-01), 38-42 0364-2313 24:1<38 2000 24 268 https://doi.org/10.1007/s002689910008 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689910008 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Cervantes-Sánchez Carlos R. Department of Surgery, Mexico City General Hospital, Dr. Balmis 148, Col. Doctores, 06726, México D.F., México, MX aut NATIONALLICENCE 700 1- Gutiérrez-Vega Rafael Department of Surgery, Mexico City General Hospital, Dr. Balmis 148, Col. Doctores, 06726, México D.F., México, MX aut NATIONALLICENCE 700 1- Vázquez-Carpizo Jorge A. Emergency Department, Mexico City General Hospital, Dr. Balmis 148, Col. Doctores, 06726, México D.F., México, MX aut NATIONALLICENCE 700 1- ClarkM.Sc Patricia Clinical Epidemiology Unit, Mexico City General Hospital, Dr. Balmis 148, Col. Doctores, 06726, México D.F., México, MX aut NATIONALLICENCE 700 1- Athié-Gutiérrez Cesar Emergency Department, Mexico City General Hospital, Dr. Balmis 148, Col. Doctores, 06726, México D.F., México, MX aut NATIONALLICENCE 773 0- World Journal of Surgery Springer-Verlag 24/1(2000-01-01), 38-42 0364-2313 24:1<38 2000 24 268 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer