Peritoneal Drainage and Systemic Antibiotics After Appendicectomy

Is Prophylactic Drainage of Peritoneal Cavity after Gut Surgery Necessary?: A Non-Randomized Comparative Study from a Teaching Hospital

“…It does not only increases hospital stay and duration of operative procedure but also increases wound infection rate, postoperative fever, intestinal obstruction and drain related complication like pulling of omentum, discharge from drain wound and subcutaneous infection. These finding were in agreement with previous studies [4,[8][9][10][11][12][13][14][15][16][17].…”

“…Chest infection was not observed in either group. This is not in agreement with previous study where they have reported a higher incidence of chest infection in drain group [8][9][10][11][12][13][14]. 1{ASA-1 vs. ASA-2: 131(82.9%) vs. 27(17.1%)}.…”

Open appendectomy for pediatric ruptured appendicitis: a historical clinical review of the prophylaxis of wound infection and postoperative intra-abdominal abscess

“…They concluded that using triple IV antibiotics (ampicillin, clindamycin or metronidazole, gentamycin) and not using a peritoneal wound drain decreased the incidence of both wound infection and postoperative intra-abdominal abscess; this finding was also supported by their review of the literature at that time. 5,31,64,65 The authors also focused on the specific antibiotic treatment of anaerobic bacteria, especially Bacteroides fragilis. 27,32,40,66,67 However, the drawback of their paper was that patients with unruptured gangrenous appendicitis were also included in their study of ruptured appendicitis, and including those patients improved their results.…”

Randomized, prospective, and double-blind trial of new beta-lactams in the treatment of appendicitis

“…However, its use in normal and acute nonperforating appendices is still questioned (14). Several studies have clearly documented infective complications after normal appendectomy (12,22,24), and these include not only wound infections but also occasional pelvic abscesses (6). Moreover, many antibiotics are effective in decreasing postoperative sepsis when compared with placebos in acute nonperforating appendicitis (5,13,31).…”