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Retrospective Multicenter Study on Risk Factors for Surgical Site Infections after Appendectomy for Acute

Louis J X Giesen1, Anne Loes van den Boom, Charles C van Rossem

  • 1Department of Surgery, Erasmus Medical Centre, Rotterdam, The Netherlands.

Digestive Surgery
|September 16, 2016
PubMed
Abstract

Insights

Complex appendicitis increases surgical site infection (SSI) risk after appendectomy. Using a stapler device for appendiceal stump closure may reduce SSI, aiding patient recovery and lowering healthcare costs.

Area of Science:

  • General Surgery
  • Infectious Disease Epidemiology

Background:

  • Surgical site infections (SSI) affect up to 5% of patients post-appendectomy.
  • SSI lead to extended hospital stays and increased healthcare expenditures.

Purpose of the Study:

  • To identify independent risk factors for SSI following appendectomy for acute appendicitis.
  • To evaluate the association of appendiceal stump closure methods with SSI rates.

Main Methods:

  • Multicenter study including 637 patients undergoing appendectomy for acute appendicitis.
  • Data collected included patient, diagnostic, intra-operative, and disease-related factors.
  • Multivariable logistic regression analysis identified independent risk factors for SSI.

Main Results:

  • Complex appendicitis was a significant independent risk factor for SSI (OR 4.09).
  • Appendiceal stump closure using a stapler device showed an inverse correlation with SSI (OR 0.40).

Conclusions:

  • Complex appendicitis is a significant risk factor for SSI, necessitating vigilant postoperative monitoring.
  • Stapler device use for appendiceal stump closure is associated with a decreased risk of SSI.

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