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 .
Is peritoneal drainage necessary in childhood perforated appendicitis?--a comparative study.
PURPOSE / BACKGROUND In this study , we aim ed to evaluate the effect of peritoneal drainage ( PD ) on postoperative infective complications in cases with perforated appendicitis . METHOD One hundred nine patients ( with PD ) were evaluated retrospectively and 117 cases ( with no drainage [ ND ] ) were evaluated prospect ively regarding complications like wound infection ( WI ) , intraabdominal abscess ( IAA ) , and small bowel obstruction caused by adhesions ( SBO ) in perforated appendicitis cases . The abdomen was irrigated with isotonic NaCl solution and the wounds were closed primarily in all patients . RESULTS The total number of patients was 226 ( male , 66.4 % ; female , 33.6 % ) , with a mean age of 8.6 + /- 3.4 years ( range , 1 - 15 years ) . The WI rates in PD and ND groups were 28.4 % to 16.2 % , respectively . The ratio of IAA in the PD group was 12.8 % which decreased to 3.4 % in the ND group . The difference was statistically significant ( P < .05 ) . The postoperative hospitalization period in the PD and ND groups were 10.2 + /- 6.5 and 8.3 + /- 3.3 days , duration s of antibiotic use were 9.5 + /- 5.5 and 7.7 + /- 2.7 days , duration s of NG tube usage were 3.2 + /- 1.5 and 2.2 + /- 1.2 days , time to oral feeding was 3.7 + /- 1.7 and 2.5 + /- 1.4 days , and time to normalization of the body temperatures was 3.7 + /- 2.3 vs 2.3 + /- 1.7 days . All differences were statistically significant ( P < .05 ) . The ratio of SBO increased from 2.8 % to 3.4 % in the ND group , but this result was not statistically significant . CONCLUSIONS As a result of this study , we recommend that peritoneal drainage should be ab and oned in childhood 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 .