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Wound infection and subsequent port-site hernia following laparoscopic appendectomy: A case report and surveillance

Katie Jeddeloh1, Jena Velji-Ibrahim1, Emily Stock1

  • 1University of Minnesota Medical School, 420 Delaware St SE, Minneapolis, MN 55455, United States.

International Journal of Surgery Case Reports
|May 31, 2022
PubMed
Abstract

Insights

Laparoscopic appendectomy for acute appendicitis has low surgical site infection (SSI) rates, though complications like port-site hernias can occur. This information aids physicians in choosing the best treatment for acute appendicitis.

Area of Science:

  • Surgical outcomes and patient safety in general surgery.

Background:

  • Non-operative antibiotic therapy is an alternative to surgery for acute appendicitis (AA).
  • Surgical complication rates influence treatment decisions for AA.
  • Laparoscopic appendectomy (LA) is a common surgical approach for AA.

Purpose of the Study:

  • To report a case of wound infection and port-site hernia after LA.
  • To analyze post-operative surgical site infection (SSI) and readmission rates following LA.
  • To discuss global treatment options for AA.

Main Methods:

  • A case of wound infection and port-site hernia after LA was reported.
  • Surveillance data on SSI and readmission rates for LA patients were analyzed.
  • Patient demographics, wound classification, and operative times were assessed.

Main Results:

  • The SSI rate after LA was 1.7% (15/865 patients).
  • Patients with SSIs were more likely to be male, older, have higher wound classification scores, and longer operative times.
  • The overall readmission rate was 2.8%.

Conclusions:

  • Surgical site infection following LA is rare but can be challenging to diagnose.
  • Port-site hernias are a potential complication of LA.
  • This data informs treatment decisions for AA, considering surgical risks.
Keywords:
AppendicitisCase reportLaparoscopic appendectomyLow- and middle-income countriesSurgical site infections

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