Does laparoscopic appendectomy increase the risk of intra-abdominal abscess in children who have perforated appendicitis?

Year 2019, Volume: 5 Issue: 4, 636 - 640, 04.07.2019

Fatih Akbıyık Günay Ekberli , Yusuf Hakan Çavuşoğlu

https://doi.org/10.18621/eurj.412177

Abstract

Objective: The
aim of this study is to compare the rates of intraabdominal abscesses (IAAs),
in laparoscopic appendectomy (LA) and open appendectomy (OA) for perforated
appendicitis in children.

Methods: A
retrospective database search of consecutive cases of children with a diagnosis
of perforated appendicitis who underwent OA or LA by the first author or were
operated under his supervision diagnosed with appendicitis between 2011 and
2014 and who underwent surgery as treatment was conducted.

Results: Seventy-eight
patients were included in our study. Forty-two and 36 patients underwent LA and
OA, respectively. One case was converted from LA to OA. There was no
statistically significant difference at superficial incisional surgical-site
infections and IAA between groups but drain placement ratio and length of
hospital stay was higher in OA group.

Conclusions:
The lack of difference
in postoperative incidence of IAA supports the idea that LA does not increase
the risk of IAA in perforated appendicitis. Although LA for perforated
appendicitis in children has been intensely debated, our findings indicate that
laparoscopic procedures performed by experienced pediatric surgeons will
decrease the risk of complication and conversion to OA. Laparoscopy in children
is a safe procedure for perforated, complicated appendicitis.

Keywords

appendicitis, abdominal abcess, laparoscopy, child

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