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 .
The utility of peritoneal drains in children with uncomplicated perforated appendicitis
Peritoneal drainage in children with uncomplicated perforated appendicitis ( UPA ) is still controversial . Many pediatric surgeons prefer not to drain the peritoneal cavity in such cases . However , there is no r and omized controlled study performed in children . We aim ed to study the effects of peritoneal drainage in children with UPA in a r and omized prospect i ve trial . One hundred and forty consecutive patients with UPA were divided r and omly into 2 groups . Group I ( 70 patients ) consisted of cases with peritoneal drainage , and group II ( 70 patients ) without drainage . UPA is defined as perforated appendicitis with no more discoloration of peritoneal fluid after peritoneal wash out . Cases with localized abscess in the peritoneum were excluded from the study . In all patients , the ages , duration of symptoms , nasogastric drainage and hospitalization , and complications after surgery were recorded . The duration of hospitalization and nasogastric draining time were significantly lower in patients without peritoneal drainage . There was no difference in postoperative complications between the two groups . The onset of oral intake after surgery was significantly earlier in group II patients . Placing drains in the peritoneum does not improve outcome in UPA . Therefore , we do not recommend routine drainage of children with UPA
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 .