Incidence of Wound Infection after cholecystectomy with or without appendicectomy

Abstract

From the 1st of September 1978 to the end of August 1979 one hundred and one patients undrewent laprotomy for gall-stones and gall-bladder diseases in the Department of Surgery, Bir Hospital, All operations were performed by one team. Among-them seventeen were males (16.8%) and eighty four females (83.2%). Cholecystectomy and appendicectomy were performed in fortyseven patients, among them nine patients underwent choledochotomy as well. Postoperative wound infection after cholecystectomy. cholecystectomy with choledochotomy and removal of the gall bladder with appendicectomy was 5.9, 10 and 10.6 percent respectively. Despite high incidence of wound sepsis after biliary surgery with appendicectomy the later procedure is advocated during routine cholecystectomy, because there are very few hospitals in Nepal where facilities for laparotomy exist, and review of English literature has revealed a number of references to concomitant cholecystic - appendiceal disease. These reports refer to the high incidence of unsuspected pathological process within the appendex as a indication for its removal at the time of elective cholecystectomy.