A Randomized Trial on Wound Irrigation in Prevention of Surgical Site Infection After Appendectomy
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Mansoura University
- Enrollment
- 179
- Locations
- 1
- Primary Endpoint
- Surgical site infection
Study Overview
Brief Summary
Surgical site infection is a common problem after open appendectomy. Irrigation of the surgical wound by topical antibiotics has been devised as a measure to reduce the incidence of wound infection. The present trial aims to assess the efficacy of layer-by-layer wound irrigation with gentamicin-saline solution in prevention of superficial surgical site infection after open appendectomy for acute uncomplicated appendicitis.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Triple (Participant, Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 16 Years to 65 Years (Child, Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Adult patients of both genders aging between 18 and 65 years who present with acute appendicitis.
- •Patients with perforated appendicitis will be also included.
Exclusion Criteria
- •Patients with appendicular mass, appendicular abscess, generalized peritonitis.
- •Patients with other causes of acute abdomen as revealed intraoperatively.
- •Patients taking long course of steroid therapy or immunosuppressive treatment,
- •Patients unwilling to participate in the trial.
Arms & Interventions
Irrigation
Layer by layer irrigation of the surgical wound with gentamicin-saline solution
Intervention: Irrigation (Procedure)
Control
The surgical wound is closed layer by layer without irrigation
Outcomes
Primary Outcomes
Surgical site infection
Time Frame: 2 months after surgery
The incidence of superficial site infection as detected by clinical examination on follow-up
Secondary Outcomes
No secondary outcomes reported
Investigators
Sameh Emile
Lecturer of general surgery
Mansoura University
