Is laparoscopic appendectomy in children associated with an uncommon postoperative complication?

Abstract

PLAC may be the result of a slow development of local interstitial infection in the ileocecal area due to mesothelial damage caused by CO2 pneumoperitoneum and local thermal effect produced by energized systems. This may explain its delayed appearance and the efficacy of the antibiotic treatment.

National trends in therapeutic approaches and outcomes for pediatric appendicitis: a Taiwanese nationwide cohort study

“…LAs also have advantages of cosmesis [4,5]. It remains to be clarified whether there are benefits of LAs over OAs in terms of postoperative complications [6][7][8][9]. As the use of LAs appears to be increasing, we utilized a nationwide populationbased dataset to evaluate changes in the incidence of approaches and its impact on outcomes.…”

Role of dissemination of microorganisms during laparoscopic appendectomy in abscess formation

“…In open appendectomies, the abdomen is exposed to normal air containing 20% oxygen, which is toxic to anaerobic microorganisms. Serour et al [10] reported that intra-abdominal CO 2 in the pneumoperitoneum may increase the risk of intraperitoneal infections in laparoscopic appendectomies. Although some studies have shown no difference between open and laparoscopic appendectomies in terms of infection, we hypothesized that CO 2 insufflation may facilitate the spread of bacterial colonization.…”

Relaparoscopy as an alternative to laparotomy for laparoscopic complications

“…Einmal kam es dabei allerdings zur Ausbildung einer enterokutanen Fistel. Auch andere Autoren ziehen die CT-gesteuerte Drainage postoperativer Abszesse nach laparoskopischer Appendektomie der Relaparoskopie vor [41]. Moralis und Mitarbeiter konnten jedoch in gleicher Situation zeigen, dass auch mittels frühzeitiger Relaparoskopie ein Abszess nach laparoskopischer Appendektomie sicher zu beherrschen ist [32].…”