Antiseptics solutions for Prevention of surgical wound infection in appendectomized patients by complicated acute appendicitis

Revista de la Facultad de Medicina Humana Pub Date : 2023-09-30 DOI:10.25176/rfmh.v23i3.5906

Arturo García Galicia, Álvaro J. Montiel Jarquín, Leonardo Corona Olmedo, Yaciel E. Flores Ramos, Ricardo A. Parker Bosquez, Jorge Loría Castellanos, Víctor Victoria De la Rosa, Janeth Ramírez Mendoza

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Abstract

Surgical wound infection secondary to complicated acute appendicitis is frequent. The objective was to compare the Dakin and the Superoxidative solutions to prevent surgical wound infections in complicated acute appendicitis. It was a comparative, cross-sectional study, in 104 patients with complicated acute appendicitis (medium age 36.29 years, 69(66.43%) men). Group 1: 52 patients with surgical wound lavage with Dakin modified solution. Group 2: 52 patients with superoxidative solution (Microdacyn®). All patients received ceftriaxone 1 g before surgery; conventional appendectomy was performed and the wall closure with Vicryl 1 and Nylon 2/0. Surgical wound was evaluated 7 days after surgery, looking for pus, edema, erythema, local heat. X2 and Student's t were used. Surgical wound infection was present in 11 (10.6%) patients, 3(5.8%) patients from group 1 and 8(15.4%) from group 2 (p=0.1). Both solutions are useful to prevent surgical wound infections in patients operated by complicated acute appendicitis.

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预防并发急性阑尾炎阑尾切除患者手术创面感染的抗菌液

并发急性阑尾炎继发手术伤口感染是常见的。目的是比较Dakin和超氧化溶液在预防复杂急性阑尾炎手术伤口感染中的作用。这是一项比较、横断面研究，共纳入104例合并急性阑尾炎患者(中位年龄36.29岁，男性69例(66.43%))。第一组:52例手术创面灌洗用达金改良液。第二组:超氧化溶液(Microdacyn®)患者52例。所有患者术前均给予头孢曲松1 g;行常规阑尾切除术，用Vicryl 1和Nylon 2/0封闭阑尾壁。术后7天评估手术创面，观察有无脓液、水肿、红斑、局部发热。使用X2和Student's t。手术创面感染11例(10.6%)，1组3例(5.8%)，2组8例(15.4%)(p=0.1)。这两种解决方案都有助于预防复杂急性阑尾炎手术患者的手术伤口感染。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Revista de la Facultad de Medicina Humana

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审稿时长

12 weeks