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Wound sepsis after cholecystectomy. Influence of incidental appendectomy

V P O'Malley, D R Finch, P H Powley

    Journal of Clinical Gastroenterology
    |August 1, 1986
    PubMed

    Insights

    Adding an incidental appendectomy to cholecystectomy is safe for patients under 50. This study found no significant difference in wound infections between cholecystectomy alone and cholecystectomy with appendectomy.

    Area of Science:

    • Surgical Safety
    • Gastrointestinal Surgery
    • Preventive Medicine

    Background:

    • Cholecystectomy is a common surgical procedure.
    • Appendectomy is often performed electively for symptomatic appendicitis.
    • The safety of combining these procedures incidentally is not well-established.

    Purpose of the Study:

    • To evaluate the safety of incidental appendectomy during cholecystectomy.
    • To compare complication rates between cholecystectomy alone and cholecystectomy with incidental appendectomy.
    • To assess the impact on wound infections in patients under 50 years old.

    Main Methods:

    • Prospective randomized study.
    • 120 patients under 50 randomized to cholecystectomy alone or cholecystectomy plus appendectomy.
    • All patients received preoperative antibiotic prophylaxis.

    Main Results:

    • Wound infections occurred in 5.3% of the cholecystectomy-only group (3/56).
    • Wound infections occurred in 3.8% of the cholecystectomy plus appendectomy group (2/52).
    • No significant difference in complication rates was observed between the groups.

    Conclusions:

    • Incidental appendectomy is a safe addition to elective cholecystectomy.
    • Combining procedures does not increase the risk of wound infections.
    • This approach may be considered in eligible patients.

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