{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T21:30:08Z","timestamp":1770499808837,"version":"3.49.0"},"reference-count":0,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,2,14]],"date-time":"2014-02-14T00:00:00Z","timestamp":1392336000000},"content-version":"vor","delay-in-days":5158,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2000,1]]},"abstract":"Abstract<\/jats:title>To evaluate syringe pressure irrigation of the surgical wound to decrease its infection after appendectomy, we designed a randomized control trial at the Emergency Department of Mexico City General Hospital, including 350 patients with acute abdomen suggestive of appendicitis, without any other infection clinically evident. The trial was randomized into 2\u00a0groups. Group I patients received prophylactic systemic antibiotics before surgery. Group II patients received the same prophylactic systemic antibiotics plus syringe pressure irrigation of the surgical wound with 300\u00a0ml of saline solution using a 20\u2010ml syringe with 19\u2010gauge intravenous (IV) catheter to measure the incidence of postoperative wound infection. In our results, 283 patients had appendicitis. Of these, 188 were uncomplicated (66.4%) and 95 (33.6%) were complicated. Of the complicated cases, 40 were assigned to group I, and of these, 29 (72.5%) developed wound infection. In group II there were 55 patients and only 9 (16.3%) developed wound infection after syringe pressure irrigation [p<\/jats:italic>= 0.000001; 95% confidence interval (CI) = 0.02\u20130.22]. We conclude that syringe pressure irrigation of the surgical wound after appendectomy contributes significantly to decrease the incidence of postoperative wound infection in complicated cases. It is a cheap, safe, and accessible method in any surgical room.<\/jats:p>","DOI":"10.1007\/s002689910008","type":"journal-article","created":{"date-parts":[[2002,8,25]],"date-time":"2002-08-25T05:57:49Z","timestamp":1030255069000},"page":"38-42","source":"Crossref","is-referenced-by-count":63,"title":["Syringe Pressure Irrigation of Subdermic Tissue after Appendectomy to Decrease the Incidence of Postoperative Wound Infection"],"prefix":"10.1002","volume":"24","author":[{"given":"Carlos R.","family":"Cervantes\u2010S\u00e1nchez","sequence":"first","affiliation":[{"name":"Department of Surgery Mexico City General Hospital Dr. Balmis 148, Col. Doctores 06726 M\u00e9xico D.F. M\u00e9xico"},{"name":"Department of Surgery Universidad Nacional Autonoma de ,Mexico, Facultad de Medicina UNAM, Cd. Universitaria M\u00e9xico D.F. 01000 M\u00e9xico"},{"name":"Emergency Department Mexico City General Hospital Dr. Balmis 148, Col. Doctores 06726 M\u00e9xico, D.F. M\u00e9xico"},{"name":"School of Medicine, Universidad An\u00e1huac, A.C., Lomas An\u00e1huac s\/n, Huixquilucan Estado de M\u00e9xico 52760 M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael","family":"Guti\u00e9rrez\u2010Vega","sequence":"additional","affiliation":[{"name":"Department of Surgery Mexico City General Hospital Dr. Balmis 148, Col. Doctores 06726 M\u00e9xico D.F. M\u00e9xico"},{"name":"Department of Surgery Universidad Nacional Autonoma de ,Mexico, Facultad de Medicina UNAM, Cd. Universitaria M\u00e9xico D.F. 01000 M\u00e9xico"},{"name":"School of Medicine, Universidad An\u00e1huac, A.C., Lomas An\u00e1huac s\/n, Huixquilucan Estado de M\u00e9xico 52760 M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge A.","family":"V\u00e1zquez\u2010Carpizo","sequence":"additional","affiliation":[{"name":"School of Health Sciences Universidad Panamericana A.C., Donatello 75, Insurgentes\u2010Mixcoac M\u00e9xico, D.F. 03920 M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"Clark","sequence":"additional","affiliation":[{"name":"Clinical Epidemiology Unit Mexico City General Hospital Dr. Balmis 148, Col. Doctores 06726 M\u00e9xico D.F. M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cesar","family":"Athi\u00e9\u2010Guti\u00e9rrez","sequence":"additional","affiliation":[{"name":"School of Health Sciences Universidad Panamericana A.C., Donatello 75, Insurgentes\u2010Mixcoac M\u00e9xico, D.F. 03920 M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,2,14]]},"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s002689910008.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s002689910008\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s002689910008","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,27]],"date-time":"2023-12-27T17:01:40Z","timestamp":1703696500000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s002689910008"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2000,1]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2000,1]]}},"alternative-id":["10.1007\/s002689910008"],"URL":"https:\/\/doi.org\/10.1007\/s002689910008","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2000,1]]}}}