| dc.description.abstract | Acute appendicitis is one of the most common causes of surgery worldwide. Appendectomy is a
skeptical surgical intervention associated with the risk of Surgical Site Infection (SSI). The purpose
of this analysis was to describe the relationship between delayed appendectomy in acute appendicitis
and the incidence of SSI. Reviewers selected articles containing data on the incidence of SSI due to
appendectomy delays for 3 to 48 hours from seven databases, namely Pubmed, Nature, SpringerLink,
Science Direct, ProQuest, Oxford Open Access Journal, and Cochrane Library. The data source was
secondary data from international articles published in 2011 to 2020 based on the PICO criteria. The
data obtained were then grouped and synthesized without meta-analysis/Synthesis Without Metaanalysis (SWiM) descriptively. A total of 2,778 articles were collected, of which 24 studies met the
inclusion criteria. A total of 4 articles showed an association between appendectomy delay and SSI while
the other 20 articles did not show a relationship between the two. There was no relationship between
appendectomy delays for less than 48 hours since hospital admission to surgery with the incidence of
SSI, however a delayed for more than 48 hours showed a significant value. The results showed there
was no relationship between delayed appendectomy for less than 48 hours since the time the patient
was admitted to the hospital until the surgery took place, but a delayed appendectomy delay for more
than 48 hours showed a significant relationship with the incidence of SSI. This narrative review supports
early surgical intervention of acute appendicitis cases by considering the severity of the patient to avoid
other surgical complications. | en_US |
