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Revista de la Facultad de Medicina Humana

Print version ISSN 1814-5469On-line version ISSN 2308-0531

Abstract

GARCIA-GALICIA, Arturo et al. Antiseptics solutions in the prevention of surgical wound infection on patients operated by complicated acute appendicitis. Rev. Fac. Med. Hum. [online]. 2023, vol.23, n.3, pp.22-27.  Epub Sep 21, 2023. ISSN 1814-5469.  http://dx.doi.org/10.25176/rfmh.v23i3.5906.

Introduction:

The infection of the surgical wound in a complicated acute appendicitis is common.

Objective:

The objective was to compare Dakin and Superoxidative solutions in preventing surgical wound infections in patients with complicated acute appendicitis.

Methods:

Comparative, cross-sectional study of 104 patients with complicated acute appendicitis (Average age: 36.29 years, 69 (66.43%) men). Group-1: 52 patients, with surgical wound wash using modified Dakin's solution. Group-2: 52 patients with superoxidative solution (Microdacyn®). Ceftriaxone 1 gr was administered before surgery, conventional appendectomy was performed, and the wall was closed with Vicryl-1 and Nylon-2/0. The surgical wound was evaluated 7 days after the operation, noting the presence of pus, edema, erythema, and local heat. Chi-squared (X2) and Student's t-tests were used.

Results:

Surgical wound infection occurred in 11 (10.6%) patients; 3 (5.8%) patients from Group-1 and 8 (15.4%) from Group-2 (p=0.1).

Conclusion:

Both solutions are useful in preventing surgical wound infections in patients with complicated acute appendicitis.

Keywords : Appendicitis; Infections; Surgical Wound; Local Antiseptics; Sterilizing Agents.

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