There were no significant differences between the two groups in the rates of intra-peritoneal abscess or wound infection .
It is not clear whether routine abdominal drainage has any effect on the prevention of intra-peritoneal abscess after open appendectomy for complicated appendicitis .
Abdominal drainage after an emergency open appendectomy may be associated with delayed hospital discharge for patients with complicated appendicitis
BACKGROUND Appendectomy , the surgical removal of the appendix , is performed primarily for acute appendicitis .
Patients who undergo appendectomy for complicated appendicitis , defined as gangrenous or perforated appendicitis , are more likely to suffer from postoperative complications .
The routine use of abdominal drainage to reduce postoperative complications after appendectomy for complicated appendicitis is controversial .
OBJECTIVES To assess the safety and efficacy of abdominal drainage to prevent intra-peritoneal abscess after open appendectomy for complicated appendicitis .
Incidence of Acute Nonperforated and Perforated Appendicitis: Age-specific and Sex-specific Analysis
Abstract . This prospect i ve study was performed to investigate epidemiological characteristics in terms of the age- and sex-specific incidence in patients with perforated and nonperforated appendicitis . The study population comprised 1486 consecutive patients who underwent appendectomy for suspected acute appendicitis between 1989 and 1993 . Two patient cohorts [ n = 544 ( 37 % ) ] were analyzed with regard to prehospitalization duration of symptoms and in-hospital observation time . The crude incidence of acute appendicitis was 86 per 100,000 per year . Although the incidence of nonperforated appendicitis was highest among adolescents and young adults ( 13–40 years of age ) , perforated appendicitis occurred at almost the same incidence in all sex and age groups . The diagnostic accuracy was 76 % . Perforated appendicitis occurred in 19 % , with higher rates in small children and the elderly , irrespective of gender . A high diagnostic accuracy was not associated with an increased rate of perforation . In small children and the elderly , the diagnostic accuracy was low and the perforation rate high . Patients with perforation had a significantly longer duration of symptoms as well as in-hospital observation time than did patients with nonperforated appendicitis . Perforated appendicitis showed a different incidence pattern than nonperforated appendicitis and was associated with a significantly longer duration of symptoms and in-hospital observation time , probably due to patient-related factors . We suggest this observation deserves attention regarding clinical diagnosis and treatment decision-making for patients with suspected acute appendicitis
There were no significant differences between the two groups in the rates of intra-peritoneal abscess or wound infection .
It is not clear whether routine abdominal drainage has any effect on the prevention of intra-peritoneal abscess after open appendectomy for complicated appendicitis .
Abdominal drainage after an emergency open appendectomy may be associated with delayed hospital discharge for patients with complicated appendicitis
BACKGROUND Appendectomy , the surgical removal of the appendix , is performed primarily for acute appendicitis .
Patients who undergo appendectomy for complicated appendicitis , defined as gangrenous or perforated appendicitis , are more likely to suffer from postoperative complications .
The routine use of abdominal drainage to reduce postoperative complications after appendectomy for complicated appendicitis is controversial .
OBJECTIVES To assess the safety and efficacy of abdominal drainage to prevent intra-peritoneal abscess after open appendectomy for complicated appendicitis .