Wound infection and subsequent port-site hernia following laparoscopic appendectomy: A case report and surveillance data analysis

Katie Jeddeloh, Jena Velji-Ibrahim, Emily Stock, Robert Bulander, Jennifer Rickard, James V Harmon

Research output: Contribution to journalShort surveypeer-review

Abstract

Introduction: Non-operative antibiotic therapy is now considered as an alternative to surgery for acute appendicitis (AA). This is in part due to the reported surgical complication rates. We report a patient who developed wound infection and port site hernia following a laparoscopic appendectomy, analyze our post-operative wound infection rates, and discuss the treatment options for AA globally. Presentation of case: We report a 40-year-old woman who developed a wound infection and subsequent port site hernia following laparoscopic appendectomy (LA) and analyze surgical site infection (SSI) and readmission rates for patients who underwent LA at our medical center. Analysis of our surveillance data demonstrated that 15/865 (1.7%) patients developed SSIs and 7/15 (47%) of these patients had positive wound cultures. Patients who developed SSIs were more likely to be male (80% vs 20%; P = 0.03), be older (43.0 vs 34.0; P = 0.04), have higher surgical wound classification scores (66.7% vs 38.2%; P = 0.009), and have longer operative times (82 vs 62 min; P = 0.003). The overall readmission rate was 2.8%. Discussion: We report a lower SSI rate after LA than usually reported. Surgical site infection following LA is rare and may be challenging to diagnose early. Additional complications such as port-site hernia may also be encountered in this setting. Conclusion: This data should inform both physicians and surgeons who must consider the expected complication rates associated with surgery for AA globally.

Original languageEnglish (US)
Article number107235
JournalInternational Journal of Surgery Case Reports
Volume95
DOIs
StatePublished - Jun 2022

Bibliographical note

Funding Information:
Jackson Baril BS, Luke Mc Cutcheon BS, Catherine Statz MPH, James Glover MS, Victor Vakayil MBBS MS, Khalid Amin MD.

Publisher Copyright:
© 2022 The Author(s)

Keywords

  • Appendicitis
  • Case report
  • Laparoscopic appendectomy
  • Low- and middle-income countries
  • Surgical site infections

PubMed: MeSH publication types

  • Journal Article

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