Drain or Not to Drain in Appendectomy for Perforated Appendicitis
Iraqi Postgraduate Medical Journal,
2012, Volume 11, Issue 3, Pages 349-352
Acute appendicitis is the most common surgical cause of acute abdomen necessating surgical intervention. Prophylactic drainage is commonly used in surgical practice, as in acute perforated appendicitis.
To evaluate the advantages & disadvantages of the prophylactic drainage after appendectomy for acute perforated appendicitis.
Eighty four patients of acute perforated appendicitis were enrolled in this prospective comparative study done in Al-Kindy Teaching Hospital from October 2009 to March 2011. They were divided into two groups; 46 patients (54.76%) drainage group & 38 patients (46.24%) non-drainage group. Hospital stay time & postoperative wound infection were assessed in both groups. Statistical analysis using Minitab software version 14 to calculate the P value was done.
Patients’ age ranged from 6-50 years (mean27±12), male:female ratio was 2.6:1. The incidence of perforation in acute appendicitis was 15.9% irrelevant to age or sex. Mean hospital stay time was 36 hours in the non-drainage group & mean of 58±4 in the drained group. Wound infection was 39.13% in the drainage group & 36.84% in the non-drainage group, with a P value was >0.05.
postoperative wound infection & hospital stay were less in the non-drainage group for this prophylactic drainage should be reconsidered
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