Appendectomies in a Children's Hospital

An exponential increase in the number of published prospective studies reflects both a continuing interest in, and a lack of consensus on, the optimal prophylaxis of wound sepsis after appendicectomy. Review of the literature over the last 25 years leads us to emphasize both the importance of adequate study size and of stratification of the severity of the sepsis found at operation. For critical comparison of prophylactic regimens the high percentage of wound infections disclosed after discharge from hospital must be taken into account. Antibiotics reduce the frequency of wound sepsis and although low wound sepsis rates have been reported with systemic antibiotics active against only anaerobes, the cumulative evidence favours a spectrum of antibacterial activity against both aerobic and anaerobic organisms. Topical antiseptics have no significant effect but topical antibiotics are beneficial. Wide variations in outcome for similar antibiotic regimens reflect the importance of technical factors in determining the frequency of wound sepsis.

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Preventing wound infection after appendicectomy: A review

Krukowski

Irwin

Denholm

et al. 1988

Journal of British Surgery

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Die problematik der appendicitis im s�uglings- und kindesalter

Schütze

Daum

Tessmar

1972

Langenbecks Arch Chiv

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Transrectal drainage of pelvic abscesses

Finne

1980

Diseases of the Colon &Amp; Rectum

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In the past 20 years few reports of transrectal drainage of pelvic abscesses have been published in the English language other than brief discussions in standard textbooks. During the past five years nine patients with pelvic abscesses have been treated successfully by this method. There were no deaths and morbidity was minimal. These cases are reviewed and the indications and techniques of operation discussed.

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Appendectomies in a Children's Hospital

Cited by 16 publications

References 6 publications

Preventing wound infection after appendicectomy: A review

Preventing wound infection after appendicectomy: A review

Die problematik der appendicitis im s�uglings- und kindesalter

Transrectal drainage of pelvic abscesses

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