Abscess After Appendectomy

Levin, Daniel E.; Pegoli, Walter

doi:10.1016/j.yasu.2015.03.010

Cited by 26 publications

(23 citation statements)

References 75 publications

(103 reference statements)

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“…The IAA rate after laparoscopic appendectomy reported in non-perforated appendicitis is 1-4%, but the incidence of postoperative IAA increases by up to 26% in patients with gangrenous perforated appendicitis [10][11][12][13]. We found perforated appendicitis in 45.9% of patients that developed a postoperative IAA but in only 8% of the patients who did not suffer this complication (Table 2).…”

Section: Discussionmentioning

confidence: 60%

Risk factors for intra-abdominal abscess following laparoscopic appendectomy for acute appendicitis: a retrospective cohort study on 2076 patients

et al. 2020

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Section: Discussionmentioning

confidence: 60%

Risk factors for intra-abdominal abscess following laparoscopic appendectomy for acute appendicitis: a retrospective cohort study on 2076 patients

et al. 2020

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“…There are some concerns regarding the benefit of this approach as it has not been shown to reduce post-op septic complications. Levin and Walter[25] reported that perforated appendicitis is a single predisposing factor for the development of postappendectomy intra-abdominal abscess. They found that technique of stump closure, routine saline peritoneal lavage, and drain placement did not decrease the risk of intra-abdominal abscess in perforated and nonperforated appendicitis.…”

Section: Discussionmentioning

confidence: 99%

Acute perforated appendicitis in adults: Management and complications in Lagos, Nigeria

et al. 2019

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Background:Acute perforation of the appendix is one of the complications of appendicitis that is associated with increased morbidity and mortality and hence regarded as a surgical emergency. Risk factors for perforated appencidicits include extremes of age, male sex, pregnancy, immunosuppression, comorbid medical conditions and previous abdominal surgery.Objectives:This study focuses on the pattern of presentation, risk factors, morbidity and mortality of patients managed for perforated appendicitis in our centre.Subjects and Methods:We conducted a seven-year retrospective review of consecutive adult patients who had surgery for perforated appendicitis in our centre.Results:The perforation rate in the study was 28.5%. The peak age of presentation was between 21-30 years. Forty-two (71.1%) of the patients under study were males. Only 3 (5.1%) of the cohorts had history of recurrent abdominal pain. Majority of the patients were in the American Society of Anesthesiologists (ASA) II (44.1%) and III (42.4%) categories. Surgical site infections (SSI) (18.6%), wound dehiscence (15.2%) and pelvic abscess (13.5%) were the most common complications. The Incidence of SSI was found to correlate with male gender, (P = 0.041), co-morbidity (P = 0.037) and ASA score (0.03) at 95% confidence interval. Routine use of intraperitoneal drain after surgery for perforated appendicitis did not appear to reduce the incidence of pelvic abscess. No mortality in the studied population.Conclusion:Appendiceal perforation was more common in male patients with first episode of acute appendicitis. Previous abdominal surgery and comorbid medical conditions were of lesser risk factors for appendiceal perforation in our patients. Surgical site infection was the commonest complication after surgery.

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“…Perforation of appendix is a significant risk factor in the development of intraabdominal abscess. 1-3 Among patients with perforated appendicitis, 3% to 20% will develop an intraabdominal abscess. 4 Post-appendectomy intraabdominal abscess is still considered as a major cause of morbidity.…”

Section: Introductionmentioning

confidence: 99%

Irrigation Versus Suction Alone in Laparoscopic Appendectomy: Is Dilution the Solution to Pollution? A Systematic Review and Meta-Analysis

Hajibandeh

Kelly

et al. 2018

Surg Innov

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The best available evidence suggests that the peritoneal irrigation with normal saline during laparoscopic appendectomy does not provide additional benefits compared with suction alone in terms of intraabdominal abscess, wound infection, and length of stay but it may prolong the operative time. The quality of the best available evidence is moderate; therefore, high-quality RCTs, which are adequately powered, are required to provide more robust basis for definite conclusions.

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Abscess After Appendectomy

Cited by 26 publications

References 75 publications

Risk factors for intra-abdominal abscess following laparoscopic appendectomy for acute appendicitis: a retrospective cohort study on 2076 patients

Risk factors for intra-abdominal abscess following laparoscopic appendectomy for acute appendicitis: a retrospective cohort study on 2076 patients

Acute perforated appendicitis in adults: Management and complications in Lagos, Nigeria

Irrigation Versus Suction Alone in Laparoscopic Appendectomy: Is Dilution the Solution to Pollution? A Systematic Review and Meta-Analysis

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