Deaf suture of abdominal wound in perforative appendicitis with purulent effusion

Abstract

The question of how to deal with the abdominal wound in perforative appendicitis with purulent effusion, after removing the appendix and cleaning the peritoneum of pus, is solved differently by individual surgeons: some, apparently, not counting on the absorption and protective ability of the peritoneum, consider it necessary in all such cases to leave the wound open, introducing a tampon or drainage into it: Others, more confident in the resistance of the peritoneum to infection, in the same cases close the abdominal wound completely, and believe that the drainage of the abdominal cavity is not feasible at all (Rotter, Haberer).

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