Comparison of intraabdominal abscess formation after laparoscopic and open appendicectomies in children

Nataraja, Ramesh M.; Teague, Warwick J.; Galéa, Julie; Moore, Lynette; Haddad, Munther J.; Tsang, Thomas; Khurana, Sanjeev; Clarke, Simon A.

doi:10.1016/j.jpedsurg.2011.11.023

Cited by 50 publications

(35 citation statements)

References 20 publications

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“…This result implies that CA patients receiving explanations about the relatively higher rate of postoperative intra-abdominal abscess formation after surgery tended to choose OA. However, we observed that there were no significant differences in postoperative intraabdominal abscess formation between the OA and LA groups for CA, although the number of patients undergoing LA was very low, similar to the results reported in other recent studies [9,11,17].…”

Section: Discussionsupporting

confidence: 91%

Clinical Outcomes and Costs of Laparoscopic Versus Open Appendectomy for Appendicitis

Shin¹

2013

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Abstract:Purpose: The aim of this study was to compare clinical outcomes between open appendectomy (OA) and laparoscopic appendectomy (LA) for both uncomplicated appendicitis (UA) and complicated appendicitis (CA) and to help to choose the appropriate procedure for its management. Methods: The medical records of patients who underwent OA (OA group) or LA (LA group) for UA or CA between January 1, 2010 and December 31, 2011, were retrospectively reviewed. Results: For UA, time to a soft diet (1.5±0.7 in OA versus 1.4±0.7 days in LA, p=0.0010) and the length of hospital stay (3.9±1.5 in OA versus 3.3±1.4 days in LA, p<0.0001) were significantly shorter in the LA group. The length of hospital stay for CA was significantly shorter in the LA group than in the OA group (7.5±3.8 versus 4.9±2.8 days, p=0.0012). Complication rates were not significantly different between the LA and OA groups for both UA and CA. Conclusions: We conclude that for CA, clinical outcomes were better in the LA than in the OA group. For UA, there were no significant advantages of LA considering expensive hospital costs. The results of this study suggest that LA is the procedure of choice for patients with complicated appendicitis.

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Section: Discussionsupporting

confidence: 91%

Clinical Outcomes and Costs of Laparoscopic Versus Open Appendectomy for Appendicitis

Shin¹

2013

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“…Laparoscopic appendectomy has gained popularity with accumulating evidence demonstrating the benefits in terms of shorter hospital stay, more rapid recovery, and better postoperative pain control (23), but all of them were lost with the occurrence of postoperative surgical wound infections complications. Development of the postoperative intra-abdominal abscess after appendectomy, is a rare, but it's a serious complication and is associated with significant morbidity (24). Some reports (25)(26)(27) A, The appendix was put inside the reusable retrieval bag, before closure its mouth and extraction from the abdominal cavity.…”

Section: Discussionmentioning

confidence: 99%

Surgical Wound Infections After Laparoscopic Appendectomy With or Without Using Reusable Retrieval Bag: A Retrospective Study

Lasheen

Elaziz

Elaal

et al. 2016

J Minim Invasive Surg Sci

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Background: Despite the reported advantages of laparoscopic appendectomy (LA), an ongoing debate exists about a possible increase in postoperative infectious complication rates. The analyses of risk factors associated with surgical site infections (SSIs) after LA, have been limited. Patients and Methods: One hundred twenty laparoscopic appendectomies performed over one year, were included in this retrospective study. The patients were divided into 2 group; group A was the one in which LA was done with using reusable retrieval bag and group B without using that. Demographic details, operative time, hospital stay and infective postoperative complications were recorded. Results: This patient groups were selected to be similar in both groups A and B in form of appendicitis types. Each group included 27 (45%) acute catarrhal appendicitis, 20 (33.3%) suppurative appendicitis and 13 (21.7%) perforated appendicitis, P = 1.0. The median patients ages were 21 years (range, 16 to 49) in group A and 25 years (range, 18 to 56) in group B, P = 0.053. Group A included 60 patients (35 males and 25 females) and group B 60 patients (32 males and 28 females), P = 0.071. Mean operative time in group A was 55.7 minutes and in group B was 57 minutes, P = 0.0231. Superficial wound infections were recorded in one patient (1.7%) in group A and in 8 patients (13.3%) in group B, P = 0.007. Intra-abdominal abscess formation was a complicated outcome in 2 patients (3.3%) of group B, P = 0.005. Mean hospital stay was 1.6 days in group A and 2.7 days in group B, P = 0.05. Conclusions: Surgical wound infections are less common by using reusable retrieval bag during laparoscopic appendectomy procedure. Also, using reusable retrieval bag has less cost.

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“…The contamination can increase complications. [11] Some studies have found that there was no significant bacterial translocation or dissemination of microorganisms in the peritoneum after appendectomy. [12] In our study, we did not observe any increase in the numbers of microorganisms in the post-appendectomy cultures of peritoneal fluid after manipulations associated with appendectomy, aspiration of abscesses, and the removal of the appendix.…”

Section: Discussionmentioning

confidence: 99%

Role of dissemination of microorganisms during laparoscopic appendectomy in abscess formation

Akın

Erginel

Yildiz

et al. 2014

Ulus Travma Acil Cerrahi Derg

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Comparison of intraabdominal abscess formation after laparoscopic and open appendicectomies in children

Cited by 50 publications

References 20 publications

Clinical Outcomes and Costs of Laparoscopic Versus Open Appendectomy for Appendicitis

Clinical Outcomes and Costs of Laparoscopic Versus Open Appendectomy for Appendicitis

Surgical Wound Infections After Laparoscopic Appendectomy With or Without Using Reusable Retrieval Bag: A Retrospective Study

Role of dissemination of microorganisms during laparoscopic appendectomy in abscess formation

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