مقایسه عفونت زخم در دو روش ساب کوتیکولار و ترانس درمال در آپاندکتومی فاز سوپراتیو

Background and Aim: Different methods for appendectomy operation wound repairs have been applied. The two common methods of the wound repair in suppurative phase of appendicitis are subcuticular and interrupted wound repair. There have been controversies on the benefit of each method. This Study was designed to compare the two methods of appendectomy wound repair on wound infection after suppurative appendectomy Materials and Methods: Two hundred patients who had necessary conditions for participating in survey were divided randomly into 2 groups in 2003. In the first group, operational wounds were repaired by subcuticular method and in the second by interrupted transdermal technique. Then the patients in the two groups were visited by another surgeon unaware of the type of suturation at intervals of one week and one month after operation. The results on the rate and kind of wound infection, pus secretion, wound opening and systemic infections were compared by SPSS software using Chi-Square and fisher exact tests. P<0.05 was considered as the significant level. Results: The mean age of patients in interrupted transdermal and subcuticular groups were 20.85±6.7 and 20.61±6.58 yrs (P=0.8), respectively. Sexes of the two groups were also similar with male dominating of 54% and 53% in transdermal and subcuticular groups, respectively (P=0.89). Local infection rates in subcuticular and transdermal group one week after surgeries were 9% and 6%, respectively (P=0.421). Rates of pus secretion and wound opening one week after surgery in subcuticular and transdermal group, were 5% and 4% respectively (P=0.99). No Systemic infection was found one week and one month after operation in both groups. Conclusion: Sine there were no statistical significant differences between the two methods of subcuticular and interrupted transdermal wound repair in supportive appendectomy either of them could be used.