Evidence map›Paper›PMID 41323430›Full record

ArticleInternational journal of surgery open2025

Subcutaneous fat thickness as a risk factor for surgical site infection following open appendectomy.

Sagar Gyawali, Dinesh Shahi, Anil Singh Badal, Ashok Kumar Rokaya, Gyanesh Chaudhary, Lilamani Rajthala, Hema Joshi, Sanjaya Paudyal

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Article in International journal of surgery open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Sagar GyawaliDepartment of Surgery, Patan Academy of Health Sciences, Lalitpur, Nepal.ORCID https://orcid.org/0000-0003-3405-427X
Dinesh ShahiDepartment of Surgery, Patan Academy of Health Sciences, Lalitpur, Nepal.
Anil Singh BadalDepartment of Surgery, Patan Academy of Health Sciences, Lalitpur, Nepal.
Ashok Kumar RokayaDepartment of Surgery, Patan Academy of Health Sciences, Lalitpur, Nepal.
Gyanesh ChaudharyDepartment of Surgery, Patan Academy of Health Sciences, Lalitpur, Nepal.
Lilamani RajthalaDepartment of Surgery, Patan Academy of Health Sciences, Lalitpur, Nepal.
Hema JoshiDepartment of Internal Medicine, National Academy of Medical Sciences, Kathmandu, Nepal.
Sanjaya PaudyalDepartment of Surgery, Patan Academy of Health Sciences, Lalitpur, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Acute appendicitis is a common surgical emergency. Surgical site infection (SSI) is a major cause of morbidity after appendectomy. Obesity is one of the risk factors for the occurrence of SSI. Subcutaneous fat thickness (SCFT) and Body mass index are markers for obesity. SCFT is easily readable and non-invasive marker and helps to predict the adiposity of the incision site. This study aims to find the association of SCFT with the occurrence of SSI in patients undergoing open appendectomy for uncomplicated appendicitis. Methods: This is a prospective study is patients undergoing emergency open appendectomy. The study was conducted from June 2022 to May 2023. Preoperative SCFT at McBurney's point was measured by ultrasonography in 150 patients and these patients were followed up till 1 month in the post-operative period to watch for the occurrence of SSI. The data was analyzed using EPI-INFO 7 and EZR. Results: Our study included a total of 150 patients. Most of the patients fell in the age group of 20-30 years. The male population was slightly higher than the female. SSI occurred in 24% of the population. Out of these, 21.3% were superficial type and 2.67% were deep type of SSI. The logistic regression of the risk factors showed that SCFT ( Conclusion: This study concludes that SCFT is a risk factor for the occurrence of SSI after emergency open appendectomy in patients with uncomplicated appendicitis.

Indexed as

appendicitissubcutaneous fat thicknesssurgical site infection

Identifiers

PMID41323430
PMCPMC12662149

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