Residual Abscesses in Acute Appendicitis. Comparison between Laparotomy Vs. Laparoscopy

  • María Cecilia Laguzzi
  • Florencia Rodríguez
  • Juan Martín Costa
  • Javier Chinelli
  • Julio Rappa
  • Julio Trostchansky
  • Pablo Valsangiacomo
  • Gustavo Rodríguez Temesio
DOI: https://doi.org/10.25184/10.25184/anfamed2019v6n1a10
Keywords: Acute Appendicitis, Appendectomy, Abscess, Laparoscopy, Laparotomy

Abstract

Acute appendicitis is the most frequent surgical emergency with an incidence of 17 patients/1,000 inhabitants.
With the advent of laparoscopy, a new mini-invasive approach emerged for the treatment of acute appendicitis.
Some advantages of this approach have been demonstrated, such as less postoperative pain, smaller incisions,
shorter hospital stays and a rapid reintegration to daily and work activities, with a lower frequency of infections
at the level of the operative wound. However, it has also been associated with an increase in the frequency of
intra-abdominal residual abscesses.
In this paper, we retrospectively analyzed all patients operated on at the Maciel Hospital in Montevideo, who
underwent an appendectomy between June 1, 2013 and June 30, 2016, both laparoscopically and laparotomically.
Of these 235 (55%) were men and 191 (45%) women. The average age was 32.6 in a range from 15 years to
96 years of age.
128 patients presented edematous appendicitis (30%), 157 phlegmonous appendicitis (36.9%), 76 patients
gangrenous appendicitis (17.8%), 37 patients presented abscess or plastron (8.7%), and peritonitis had
developed in 28 patients (6.6%).
Regarding the surgical technique, 287 were performed laparoscopically (67.4%) and 139 were
conducted via laparotomy (32.6%).
The residual abscesses rate represents 3.28% of the series, with no significant differences in incidence between
the two different approaches. The vast majority of these residual abscesses can be treated with antibiotic therapy
alone.
The conversion rate was 8.7%.
No intestinal lesions were observed following laparoscopy in this series.

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Published
2021-12-28
How to Cite
Laguzzi, M. C., Rodríguez, F., Costa, J. M., Chinelli, J., Rappa, J., Trostchansky, J., Valsangiacomo, P., & Rodríguez Temesio, G. (2021). Residual Abscesses in Acute Appendicitis. Comparison between Laparotomy Vs. Laparoscopy. Anales De La Facultad De Medicina, 6(1). https://doi.org/10.25184/10.25184/anfamed2019v6n1a10
Issue
Vol. 6 No. 1 (2019): Anales de la Facultad de Medicina
Section
Artículos originales

Copyright (c) 2021 María Cecilia Laguzzi, Florencia Rodríguez, Juan Martín Costa, Javier Chinelli, Julio Rappa, Julio Trostchansky, Pablo Valsangiacomo, Gustavo Rodríguez Temesio

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