Use of drains and post-operative complications in secondary peritonitis for complicated acute appendicitis at a national hospital.
| Autor: | Miranda-Rosales LM; Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru., Kcam-Mayorca EJ; Hospital de Emergencias de Villa el Salvador, Lima, Peru., Luna-Abanto J; Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru., Malpartida-Saavedra H; Hospital Nacional Sergio Bernales, Lima, Peru., Flores-Flores C; Departamento de Estadística Universidad Nacional Mayor de San Marcos, Lima, Peru. |
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| Jazyk: | angličtina |
| Zdroj: | Cirugia y cirujanos [Cir Cir] 2019; Vol. 87 (5), pp. 540-544. |
| DOI: | 10.24875/CIRU.19000713 |
| Abstrakt: | Introduction: Acute appendicitis is the main cause of emergency surgical care. Post-operative patients with complicated acute appendicitis present complications, many of them expected. The use of drains is one of the measures to prevent these complications; however, recent meta-analyzes do not justify this therapeutic measure. This study evaluates the relationship between use and non-use of drains, post-operative complications in patients with complicated peritonitis secondary to acute appendicitis. Methods: A retrospective observational cohort study was conducted. The outcomes were analyzed by Chi-square test and Student's t-test; Fisher exact test was performed. Results: The average operating time was 1.46 h (1.0-2.5) and 1.66 (1-3) for patients without drains and with drains, respectively, the difference was significant (p = 0.001). Post-operative fever was more prevalent in group with a drains odds ratio (OR) 3.4 (confidence interval [CI] 95% 1.4-7.9). The mean time of hospitalization was 7.3 (3-20) and 8.8 days (3-35) for patients without drains and with drains, respectively. (p = 0.01). The Chi-square analysis was significant for evisceration Grade III and residual collection p = 0.036, OR not evaluable. Reoperation was not significant among both groups, p = 0.108 OR 6.3 (CI 95% 0.6-62.4). Conclusions: There is a relationship between the non-use of drains and collections and evisceration in post-operative patients with open appendectomy, by complicated acute appendicitis. (Copyright: © 2019 Permanyer.) |
| Databáze: | MEDLINE |
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