Evaluation of the utility of placing an intra-abdominal drain in laparoscopic appendectomy for complicated acute appendicitis.

“Complicated appendicitis (CA) may be a risk factor for postoperative intra-abdominal
abscess formation (IAA). In addition, several publications have shown an increased risk of postoperative collection after laparoscopic appendectomy. Most surgeons prefer to place a drain to collect contaminated abdominal fluid to prevent consequent abscess formation. We aimed to evaluate the utility of placing an intra-abdominal drain in laparoscopic appendectomy for complicated acute appendicitis.”

“This study concludes the use of intra-abdominal drain in laparoscopic appendectomy for complicated acute appendicitis does not prevent postoperative complications and may even lengthen hospital stay. Larger and prospective studies are needed to achieve more definitive conclusions.”

Schlottmann F, et al Could an abdominal drainage be avoided in complicated acute appendicitis? Lessons learned after 1300 laparoscopic appendectomies. Int J Surg. 2016 Dec;36(Pt A):40-43 Free Full Text

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