The effect of 5% povidone-iodine irrigation compared to 0.9% NaCl in the post laparotomic post laparotomic patient network on the number of the surgical site infections in dr. soetomo hospital, Surabaya

Background: The incidence of surgical site infection (SSI) in appendectomy laparotomy is around 9-53%, mainly superficial incisional. Surgical wound irrigation is often done using iodine povidone. This study aimed to compare 0.9% NaCl with 5% iodine povidone against the incidence of SSI in post-laparotomy appendectomy appendicitis patients. Methods: Sampling was carried out from January to April 2020 in 30 perforated appendicitis patients aged 18-60 years who did not experience sepsis, divided into 2 groups, then assessed the presence of infection in the surgical site for up to 30 days after surgery. Results: There was no significant difference between irrigation with 0.9% NaCl and iodine povidone 5% in the subcutaneous tissue of surgical wounds to the incidence of surgical site infections in patients with appendicitis perforation postoperative appendectomy laparotomy (p = 0.543). This showed that both 0.9% NaCl and 5% iodine povidone did not increase or decrease the incidence of perforated appendicitis infection. Conclusion: There was no significant difference between irrigation with 0.9% NaCl and 5% iodine povidone to the incidence of infection in the surgical site. Five percent iodine povidone does not reduce or increase the incidence of infection in the surgical site.