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ASSESSMENT OF PARTIAL WOUND CLOSURE IN CASES OF PERFORATED APPENDICITIS AT TERTIARY CARE HOSPITAL

Dr. Ahsan-ur-Rehman, Dr. Tariq Jamil, Dr. Irfan Ahmad

Objective: To assess the partial wound closure in cases of perforated appendicitis at tertiary care hospital. Material and methods: This cross sectional study was conducted at Department of Surgery, Nishtar Hospital, Multan from July 2018 to December 2018 over the period of 6 months. Total 362 patients of acute appendicitis having age from 15-70 years either male or female were selected. The intraoperative gross pathological state of the appendix was recorded as either negative or uncomplicated or perforated appendicitis. Results: Total 362 patients of acute appendicitis were selected. Most of the patients were between 16-30 years. Negative appendicitis was noted in 18.78% patients, 62.98% patients had uncomplicated appendicitis and 18.23% with perforated appendicitis.The wound infection rates were 37.5%, 16.66% and 13.33% in primary wound closure, open wound with delayed primary closure and partial wound closure respectively. Length of hospital stays were 7 days, 8 days and 4 days respectively. Conclusion: Results of present study showed that most of the cases were between 16-30 years. Most of the patients were male as compared to female. The common method of wound closure in perforated appendicitis was partial wound closure. Keywords: Closure, Perforated appendicitis, wound

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