Hamid Rasheed Goreja, Salman Najam Sheen, Khalid Farooq Danish, Salma Naz.
Removable Subcuticular Skin Sutures in Open Appendicectomy; Surgeons Fear.
J Islamic Int Med Coll Jan ;7(1):35-9.

Objective: To determine the frequency of wound infection with skin closure by removable subcuticular sutures in non complicated open appendectomy wound. Study Design: Descriptive case series Place and Duration of Study: Department of Surgery Railway Hospital Rawalpindi, Seven months and ten days, from 1st Nov, 2009 to 10th June, 2010. Materials and Methods: The study was carried out after taking approval from the hospital ethics committee. Seventy three adult patients of either sex admitted in department of surgery with diagnosis of acute appendicitis were included in the study by non probability consecutive sampling. All the patients were explained about the procedure and an informed written consent was obtained. Right grid iron abdominal incision centred over the Mc Burney's point was used to open the abdomen. Appendicectomy was done. In all patients subcuticular stitches by using polypropylene 2/0 were applied to close the skin. All the patients were followed on 3rd, 7th and 30th post operative day for examination of wound . Data was entered in the predesigned Proforma (annexed) for analysis. Results: Out of 73 patients 6(8.2%) suffered from wound infection. Successful open management of the infected wounds was done. Rest of the patients had uneventful recovery. Conclusion: Frequency of wound infection is negligible with removable subcuticular skin suture in non complicated open appendicectomy wound.

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