Risk Factors for Postoperative Infections Following Appendectomy of Complicated Appendicitis: A Meta-analysis and Retrospective Single-institutional Study.

Autor:	Cironi K; Tulane University School of Medicine., Albuck AL; Tulane University School of Medicine., McLafferty B; Tulane University School of Medicine., Mortemore AK; Tulane University School of Medicine., McCarthy C; Tulane University School of Medicine., Hussein M; Tulane University School of Medicine., Issa PP; Louisiana State University Health Sciences Center School of Medicine, New Orleans, LA., Metz T; Tulane University School of Medicine., Herrera M; Tulane University School of Medicine., Toraih E; Department of Surgery, Division of Endocrine and Oncologic Surgery.; Department of Genetics, Histology and Cell Biology, Suez Canal University Faculty of Medicine, Ismailia, Egypt., Taghavi S; Department of Surgery, Division of Trauma and Critical Care, Tulane University School of Medicine., Kandil E; Department of Surgery, Division of Endocrine and Oncologic Surgery., Turner J; Department of Surgery, Division of Endocrine and Oncologic Surgery.
Jazyk:	angličtina
Zdroj:	Surgical laparoscopy, endoscopy & percutaneous techniques [Surg Laparosc Endosc Percutan Tech] 2024 Feb 01; Vol. 34 (1), pp. 20-28. Date of Electronic Publication: 2024 Feb 01.
DOI:	10.1097/SLE.0000000000001234
Abstrakt:	Patients with complicated appendicitis have an increased risk for postoperative infections. Potential risk factors for postoperative infections through a meta-analysis and retrospective chart review are discussed. A meta-analysis consisting of 35 studies analyzing complicated appendicitis treated with an appendectomy noting at least 1 postoperative infection was performed. A retrospective review was then conducted in patients diagnosed with complicated appendicitis after appendectomy. Of 5326 patients in total, 15.4% developed postoperative infections. Laparoscopic surgery and perioperative hyperoxygenation were found to be protective factors for the development of infection. Retrospectively, 53.2% of patients presented with complicated appendicitis. Patients with complicated appendicitis were more likely to be older in age and have an increased length of stay. Patient demographics, operative time, and comorbid status had no effect on postoperative infection or readmission rate. Physicians should strongly consider minimally invasive techniques to treat all cases of complicated appendicitis irrespective of comorbidities, age, sex, or body mass index. Competing Interests: The authors declare no conflicts of interest. (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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