Journal of the Chinese Medical Association : JCMA
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Randomized Controlled Trial Comparative Study
Delayed primary closure versus primary closure for wound management in perforated appendicitis: a prospective randomized controlled trial.
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. ⋯ Delayed primary closure is the optimal management strategy for perforated appendicitis wounds. It significantly reduces the wound infection rate and length of stay.