Laparoscopic Lavage Versus Aspiration Alone in Perforated Acute Appendicitis: A Prospective Randomized Controlled Study
| Autor: | Mehmet Abdussamet Bozkurt, Mehmet Emin Güneş, Cemal Seyhun, Ahmet Sürek, Eyüp Gemici |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Abdominal Abscess Adolescent Group ii law.invention Young Adult 03 medical and health sciences Postoperative Complications 0302 clinical medicine Primary outcome Randomized controlled trial law medicine Appendectomy Humans Paracentesis Peritoneal Lavage Laparoscopic lavage Prospective Studies Abscess Physiological saline Aged Aged 80 and over Perforated Appendicitis business.industry Length of Stay Middle Aged Appendicitis medicine.disease Surgery Treatment Outcome 030220 oncology & carcinogenesis Acute appendicitis Female Laparoscopy 030211 gastroenterology & hepatology business |
| Zdroj: | Surgical Laparoscopy, Endoscopy & Percutaneous Techniques. 30:14-17 |
| ISSN: | 1530-4515 |
| Popis: | The optimal method for preventing abscesses in perforated appendicitis is unclear. We compared the efficacy of lavage versus aspiration for periappendicular collections/abscesses in perforated appendicitis. Our study included 286 patients. After the removal of the appendectomy material, those who underwent aspiration without prior lavage were assigned to Group I, whereas those who underwent aspiration after lavage with 500 mL physiological saline were assigned to Group II. The primary outcome measure was postoperative complications. Secondary outcome measures were intraoperative complications, morbidity, and mortality. Group I comprised 174 patients (60 female and 114 male; mean age 34.47±17.40 y), whereas Group II comprised 112 patients (39 female and 73 male; mean age 36.22±18.60 y). The 2 groups were not significantly different in age, hospitalization duration, sex, abscess formation, morbidity, or mortality. Our results demonstrate that aspiration of the surgery area without prior lavage is sufficient and can be safely applied in perforated appendicitis. |
| Databáze: | OpenAIRE |
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