ArticleBMC surgery2021
Thickness of subcutaneous fat is a risk factor for incisional surgical site infection in acute appendicitis surgery: a prospective study.
Article in BMC surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.
- Pooled it
- The Relationship Between Postoperative Pain and Subcutaneous Tissue Thickness Following Cesarean Section.Journal of clinical medicine · 2026Article
- Endoscopic Versus Open Carpal Tunnel Release in 17,700 Obese Patients: A Propensity-matched Cohort Study.Plastic and reconstructive surgery. Global open · 2026Article
- Modified subcutaneous lumbar spine index (MSLSI): a new predictor for early surgical site infection after transforaminal lumbar interbody fusion.Annals of medicine · 2025Article
- Subcutaneous fat thickness as a risk factor for surgical site infection following open appendectomy.International journal of surgery open · 2025Article
- Association between body composition and incisional surgical site infection after laparoscopic appendectomy for complicated appendicitis.BMC surgery · 2024Article
- High Subcutaneous Fat Area Is an Independent Risk Factor for Parastomal Hernia after Transperitoneal Colostomy for Colorectal Cancer.Journal of the anus, rectum and colon · 2024Article
- Subcutaneous fat thickness and abdominal depth are risk factors for surgical site infection after gastric cancer surgery.World journal of clinical cases · 2023Article
- Subcutaneous Fat Obesity in a High Body Mass Index Donor Is Not a Contraindication to Living Donor Hepatectomy.Case reports in hepatology · 2023Article
- Comprehensive abdominal composition evaluation of rectal cancer patients with anastomotic leakage compared with body mass index-matched controls.World journal of gastrointestinal surgery · 2022Article
- The radiographic soft tissue thickness is associated with wound complications after open reduction and internal fixation of patella fractures.BMC musculoskeletal disorders · 2022Article
- Relevance of Subcutaneous Fat Thickness as a Risk Factor for Surgical Site Infections in Abdominal Surgeries.Cureus · 2022Article
- Comparing Single Dose Versus Multiple Doses Antibiotic Prophylaxis in Preventing Surgical Site Infections Following Open Appendicectomy for Uncomplicated Appendicitis.Nigerian medical journal : journal of the Nigeria Medical AssociationArticle
- Laparoscopic Appendectomy Is Superior in Patients with Higher Fat Thickness.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIncisional surgical site infection (SSI) is a significant source of postoperative morbidity resulting in increased length of stay and cost. In this study, our aim was to evaluate the association between thickness of subcutaneous fat (TSF) and incisional SSI among patients undergoing open appendectomy in low-resource settings.
methods90 patients with acute uncomplicated appendicitis who underwent emergency open appendectomy from December 2017 to August 2018 were included in this prospective study. TSF was measured preoperatively using ultrasound. TSF and other possible predictors of incisional SSI, including body mass index and other clinical characteristics, were assessed by univariate and multivariable logistic regression analysis. Receiver operating characteristic (ROC) curve analysis evaluated the predictive value of TSF and the optimum cut-off value for TSF was determined using the Youden index.
resultsThe prevalence of incisional SSI was 13.3% (12/90). TSF was independently associated with incisional SSI (P < 0.001). Additionally, history of smoking (P = 0.048) was also associated with incisional SSI. A model of incisional SSI using a cut-off of 23.0 mm for TSF was moderately accurate (area under curve 0.83, confidence interval 0.70-0.97; sensitivity 83.3%; specificity 76.9%).
conclusionsThe study demonstrated that TSF, as evaluated by ultrasound, is a predictor in the development of incisional SSI in patients with acute appendicitis undergoing open appendectomy. These findings suggest that ultrasound is useful both for the evaluation of TSF and the prediction of incisional SSI risk factor in low-resource settings.
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