Intra-abdominal collections following laparoscopic versus open appendicectomy: an experience of 516 consecutive cases at a district general hospital

Wilson, Daniel G. G.; Bond, Amanda; Ladwa, N.; Sajid, Muhammad Shafique; Baig, Mirza; Sains, Parv

doi:10.1007/s00464-012-2778-2

Cited by 15 publications

(15 citation statements)

References 33 publications

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“…The benefits of having surgery at high-volume centers have been well-established, supporting regionalization [16]. Having appendectomy performed by a surgeon experienced with minimally invasive surgery has been shown to be associated with fewer postoperative intra-abdominal collections [3]. Although appendectomy is a relatively common procedure, laparoscopic appendectomy can be complex and multifaceted [17].…”

Section: Discussionmentioning

confidence: 99%

Appendicitis in the modern era: universal problem and variable treatment

et al. 2014

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Section: Discussionmentioning

confidence: 99%

Appendicitis in the modern era: universal problem and variable treatment

et al. 2014

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“…Several studies have shown the advantages of laparoscopic surgery in terms of shorter hospital stay, rapid postoperative recovery, and better pain control (10)(11)(12)(13). However, there have been concerns about the risk of infectious complications, particularly the development of intra-abdominal abscess and superficial wound infection (14,15). With occurring these complications, all laparoscopic advantages will be lost.…”

Section: Introductionmentioning

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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“…Specific studies have suggested that the surgical approach demonstrates a number of advantages, while other studies have been unable to conclusively identify a significant difference between the two treatments (15,16). Therefore, the aim of the present meta-analysis was to compare antibiotic and appendicectomy treatment for acute appendicitis in cases where surgeons were not limited by technical constraints.…”

Section: Introductionmentioning

confidence: 99%

Meta-analysis of the therapeutic effects of antibiotic versus appendicectomy for the treatment of acute appendicitis

Liu

Zhang

et al. 2014

Experimental and Therapeutic Medicine

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Appendicectomy has been the gold standard treatment of acute appendicitis for more than a century, while nonoperative therapies, including antibiotics, have acquired increased interest in recent years. The present meta-analysis aimed to compare the therapeutic effects of antibiotics versus appendicectomy for the treatment of acute appendicitis. Medline, Embase and The Cochrane Library databases were searched. Prospective randomized controlled trials that compared antibiotic treatment with surgery were included. The outcomes evaluated included the time of hospital stay, complications and time to work. There were no statistically significant differences between the antibiotic and appendicectomy groups with regard to the time of hospital stay and complications. However, the time to work was significantly longer in the appendicectomy group when compared with the antibiotic group. In addition, the therapeutic effects of antibiotics and appendicectomy were comparable for the treatment of acute appendicitis.

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Intra-abdominal collections following laparoscopic versus open appendicectomy: an experience of 516 consecutive cases at a district general hospital

Abstract: Increased rates of IAC following LA have been identified in some studies. Our series shows that, in a centre with adequate MIS experience, the IAC rate following LA is comparable to that of the open approach and should not deter surgeons with adequate support and resources.

Cited by 15 publications

References 33 publications

Appendicitis in the modern era: universal problem and variable treatment

Appendicitis in the modern era: universal problem and variable treatment

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

Meta-analysis of the therapeutic effects of antibiotic versus appendicectomy for the treatment of acute appendicitis

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