African Journal of Paediatric Surgery About APSON | PAPSA  
Home About us Editorial Board Current issue Search Archives Ahead Of Print Subscribe Instructions Submission Contact Login 
Users Online: 799Print this page  Email this page Bookmark this page Small font size Default font size Increase font size 
 
 
ORIGINAL ARTICLE
Ahead of Print

Peritoneal lavage during laparoscopic appendectomy for complex appendicitis is associated with increased post-operative morbidity


 Department of Paediatric Surgery, Leicester Children's Hospital, University Hospitals of Leicester, Leicester, England

Correspondence Address:
Darren Puttock,
8 Morban Road, Leicester, LE2 8LW
England
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ajps.ajps_146_21

Aim: Appendicitis is one of the most common paediatric surgical pathologies seen by paediatric surgeons worldwide. Laparoscopic appendectomy is undertaken for all cases of appendicitis in our institute. Intraperitoneal lavage following appendectomy is the conventional way of managing complicated appendicitis; however, some surgeons debate the efficacy of this practice. The aim of this study was to compare outcomes of intraperitoneal lavage versus suction only in children with complicated appendicitis. Methods: Data were collected retrospectively between January 2018 and January 2019. All patients undergoing laparoscopic appendectomy for complex appendicitis were included and divided into two groups, patients who had suction only and those who had lavage and suction. Outcome parameters studied were the length of stay (LOS), number of temperature spikes > 37.7 (TS), operative times (OT) and readmission for intra-abdominal collections. Comparison between the two groups was performed using two sample t-test with unequal variance, significance was set at P < 0.05. Results: A total of 115 patients were included (lavage n = 52, Suction n = 63). The LOS (P = 0.0054), TS (0.0109), OT (P < 0.0001) were significantly higher in the lavage group compared to the suction-only group. Overall rates of readmission were similar between groups, however, readmission for the confirmed intra-abdominal collection was more common in the lavage group. Conclusion: Based on our study, it appears that there is no advantage in performing an intraperitoneal lavage for complex appendicitis. It resulted in a prolonged stay, more post-operative TS and longer operative duration. The likelihood of being readmitted with an intra-abdominal collection following a lavage was higher compared to suction only.


[Full text not available ] [PDF]
Print this article
Search
 Back
 
  Search Pubmed for
 
    -  Puttock D
    -  Kumbhar V
    -  Dagash H
    -  Patwardhan N
 Citation Manager
 Article Access Statistics
 Reader Comments
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed217    
    PDF Downloaded16    

Recommend this journal