Antiseptic wick: does it reduce the incidence of wound infection following appendectomy?
AuthorsMcGreal, Gerald T
Kelly, John L
O'Donnell, Joseph A
Kirwan, W William O
Redmond, H Paul
AffiliationDepartment of Surgery, Professorial Unit, Cork University Hospital, Cork,, Ireland.
Anti-Infective Agents, Local/*therapeutic use
Length of Stay
Surgical Wound Infection/*prevention & control
MetadataShow full item record
CitationWorld J Surg. 2002 May;26(5):631-4. Epub 2002 Mar 18.
JournalWorld journal of surgery
AbstractThe role of prophylactic antibiotics is well established for contaminated wounds, but the use of antiseptic wound wicks is controversial. The aim of this work was to study the potential use of wound wicks to reduce the rate of infection following appendectomy. This prospective randomized controlled clinical trial was conducted at a university hospital in the department of surgery. The subjects were patients undergoing appendectomy for definite acute appendicitis. They were randomized by computer to primary subcuticular wound closure or use of an antiseptic wound wick. For the latter, ribbon gauze soaked in povidone-iodine was placed between interrupted nylon skin sutures. Wicks were soaked daily and removed on the fourth postoperative day. All patients received antibiotic prophylaxis. They were reviewed while in hospital and 4 weeks following operation for evidence of wound infection. The main outcome measures were wound infection, wound discomfort, and cosmetic result. The overall wound infection rate was 8.6% (15/174). In patients with wound wicks it was 11.6% (10/86) compared to 5.6% (5/88) in those whose wounds were closed by subcuticular sutures (p = NS). We concluded that the use of wound wicks was not associated with decreased wound infection rates following appendectomy. Subcuticular closure is therefore appropriate in view of its greater convenience and safety.
- Subcuticular skin closure as a standard approach to emergency appendectomy in children: prospective clinical trial.
- Authors: Serour F, Efrati Y, Klin B, Barr J, Gorenstein A, Vinograd I
- Issue date: 1996 Jan
- [Surgical Site Infections after Open Appendectomy and Effectiveness of Complex Approach to Their Prevention].
- Authors: Golub AV, Kozlov RS, Pleshkov VG, Moskalev AP, Alibegov RA, Chelombitko MA
- Issue date: 2016
- Appendectomy Skin Closure Technique, Randomized Controlled Trial: Changing Paradigms (ASC).
- Authors: Andrade LA, Muñoz FY, Báez MV, Collazos SS, de Los Angeles Martinez Ferretiz M, Ruiz B, Montes O, Woolf S, Noriega JG, Aparicio UM, Gonzalez IG
- Issue date: 2016 Nov
- [Prospective study comparing the incidence of wound infection following appendectomy for acute appendicitis in children: conventional treatment versus using reabsorbable antibacterial suture or gentamicin-impregnated collagen fleeces].
- Authors: Picó RB, Jiménez LA, Sánchez MC, Castelló CH, Bilbao AM, Arias MP, Solera LS, Ramirez RV
- Issue date: 2008 Oct
- Skin closure during appendicectomy: a controlled clinical trial of subcuticular and interrupted transdermal suture techniques.
- Authors: Onwuanyi ON, Evbuomwan I
- Issue date: 1990 Dec