Publication:
Vigorous wound irrigation followed by subcuticular skin closure in children with perforated appendicitis

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Issued Date

2010

Resource Type

Review

File Type

application/pdf

ISSN

1252208

Other identifier(s)

2-s2.0-77951891109

Rights Holder(s)

มหาวิทยาลัยศรีนครินทรวิโรฒ

Bibliographic Citation

Journal of the Medical Association of Thailand. Vol 93, No.3 (2010), p.318-323

Suggested Citation

Sookpotarom P., Khampiwmar W., Termwattanaphakdee T. Vigorous wound irrigation followed by subcuticular skin closure in children with perforated appendicitis. Journal of the Medical Association of Thailand. Vol 93, No.3 (2010), p.318-323. Retrieved from: https://hdl.handle.net/20.500.14740/7606

Title

Vigorous wound irrigation followed by subcuticular skin closure in children with perforated appendicitis

Author(s)

Sookpotarom P.
 Khampiwmar W.
 Termwattanaphakdee T.

Abstract

Background: Although various protocols for the treatment of children with perforated appendicitis have been established, no one has cited incisional wound irrigation in detail. Material and Method: The records of 69 children undergoing appendectomy for perforated appendicitis between 2004 and 2006 were reviewed. Wound irrigation prior to skin closure using 1-2 liters of normal saline was routinely performed in every case. The treatment protocol includes preoperative and postoperative antibiotic, early appendectomy, copious intraabdominal swab, vigorous wound irrigation and subcuticular skin closure. Either peritoneal lavage or transperitoneal drainage is omitted. Results: Mean patients' age was 8.7 years, 47.8% were girls and there was no death. Subcutaneous fat thickness averaged 1.3 cm. Mean duration of hospitalization was 5.8 days. Of 69 appendectomies, 47 had simple perforation and 22 developed complicated perforation. There were four post-op complications (5.8%). Two patients had very small seroma at the lateral margin of incision, which resolved without additional treatment. One boy developed adhesion obstruction and enterocutaneous fistula, postoperatively. The patient required reoperation and recovered uneventfully. Only one child had wound infection. Conclusion: Vigorous wound irrigation followed by subcuticular skin closure for perforated appendicitis yields an acceptable outcome with low rate of wound complications.

Subject(s)

Antibiotic agent
 Abdominal subcutaneous fat
 Adolescent
 Appendectomy
 Appendix perforation
 Child
 Early intervention
 Enterocutaneous fistula
 Female
 Human
 Intestine obstruction
 Length of stay
 Major clinical study
 Male
 Phlegmon
 Postoperative care
 Preoperative care
 Preschool child
 Reoperation
 Review
 School child
 Seroma
 Treatment outcome
 Wound closure
 Wound infection
 Wound irrigation
 Adolescent
 Appendicitis
 Child
 Child, Preschool
 Clinical Protocols
 Female
 Humans
 Irrigation
 Male
 Surgical Wound Infection
 Treatment Outcome

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URI

https://hdl.handle.net/20.500.14740/7606

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Scopus: Year 1983-2021

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