This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Comparison of superficial surgical site infection between delayed primary versus primary wound closure in complicated appendicitis: a randomized controlled trial. Ann Surg 2018; 267: 631-637.

Published: 14th June 2018

Authors: Siribumrungwong B, Chantip A, Noorit P, Wilasrusmee C, Ungpinitpong W, Chotiya P et al.

Conclusion

This multicenter study included 588 patients with complicated appendicitis. There was no significant reduction in superficial infections by delayed closure (10 per cent versus 7.3 per cent for primary wound closure). Postoperative pain, duration of hospital stay and quality of life were also similar. Delayed closure was $60 more expensive.

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