Intra-abdominal Abscess After Laparoscopic Appendectomy for Perforated Appendicitis

Dropped Appendicolith: Complications and Management

“…Postoperative abscess formation is approximately five times more frequent with laparoscopic approach than in open surgery [22]- [24]. In cases of perforated appendicitis, the prevalence of post-operative abscess formation is up to 20 per cent [20].…”

Pelvic sepsis following laparoscopic appendicectomy versus open appendicectomy: a retrospective study of 648 cases

“…9 Since that time the advantages of the laparoscopic technique have been well demonstrated and Laparoscopic Appendicectomy (LA) has become the preferred procedure over OA in hospitals worldwide. [10][11][12][13][14][15] Advantages of LA include reduced postoperative pain and cosmesis. 8,12,[14][15][16][17][18][19][20][21] Despite the popularity of LA, it is still a controversial subject and some studies demonstrate a preference towards OA.…”

Stumped; the Achilles of Laparoscopic Appendectomy

“…Speculation suggests that this technique significantly reduces the chance of spillage of pathogens and hence peritonitis. 8 Furthermore, there is improved healing of the gut via the formation of collagen and granulation tissue from the serosal layer of the caecum. In contrast, ligation of the appendix with preformed Roeder knots are most commonly used in laparoscopic appendectomy.…”

“…In addition, these rates dramatically increase when treating a perforated appendix (4 % in open vs. 24 % in laparoscopic appendectomy). 8 As a result, many surgeons have reverted to an open approach in the setting of a perforated appendix.…”

“…8 However, if this was the case, one would expect multiple abscesses throughout the abdominal cavity. The majority of post appendectomy abscesses tend to be localized to the right lower quadrant.…”