Delayed primary closure versus primary closure for wound management in perforated appendicitis: a prospective randomized controlled trial.

Background: It is still a matter of debate whether delayed primary closure (DPC) of contaminated abdominal incisions reduces surgical site infections compared with a primary closure (PC). The aim of this study was to determine the optimal method of wound closure for patients with perforated appendicitis.

Methods: A total of 70 patients with perforated appendicitis were included.

Comparison of primary wound closure versus open wound management in perforated appendicitis.

Background/purpose: Open wound management has long been the most common practice after appendectomy for perforated appendicitis. Primary closure, however, has recently been advocated to reduce cost and morbidity. The aim of this study was to compare the results of open wound management and primary wound closure in adult patients (age, > or =15 years) with perforated appendicitis.