Laparoscopic drainage of intraabdominal abscess after appendectomy: an alternative to laparotomy in cases not amenable to percutaneous drainage

Laparoscopic appendectomy for perforated appendicitis in children: Is intraperitoneal drainage necessary?

“…All of these patients has been managed with antibiotherapy alone, except one patient that required percutaneous tube drainage. On the other hand, as suggested by Clark et al, postoperative intraperitoneal abscess can also be drained laparoscopically [13].…”

Abscess After Appendectomy

“…Confirmation with CT scan is the most common diagnostic modality and provides the needed information for therapeutic guidance. This often includes continuation of antibiotics and possible image-guided drain placement versus operative drainage [67,68]. Overall, appendicitis and its complications continue to be a common scourge of people all over the world.…”

“…If an abscess is identified, broad-spectrum antibiotics are continued or resumed and percutaneous drainage of the collection should be entertained. If this is not possible, then either surgical washout or continued antibiotic therapy may be indicated [67,68].…”

Role of dissemination of microorganisms during laparoscopic appendectomy in abscess formation

“…E. coli has been reported to be the most commonly isolated organism in appendicitis in the literature. [13] Although laparoscopic procedures were associated with decreased numbers of E. coli in the second cultures, complications occurred due to antibiotic resistance.…”

“…Laparoscopic drainage is an effective procedure for intraabdominal abscesses when percutaneous drainage is not possible. [11,13] E. coli was the most commonly identified organism isolated from the pre-appendectomy cultures (4/5, 80%) and from the abscesses (2/5, 40%). The bacterium was also resistant to ampicillin-sulbactam (100%) and gentamicin (50%).…”