Leal-Cirerol ER, Quezada-López H, Mora-Fol JR, Puga-Ayala VM

Language: Spanish
References: 13
Page: 132-137
PDF size: 64.19 Kb.

ABSTRACT

Introduction: Appendicitis is the most common surgical emergency in childhood, its current minimally invasive management is safe and reasonable in uncomplicated cases, however its role in complicated appendicitis remains controversial. The aim is to report our experience in the management of complicated appendicitis by laparoscopic and provide management guidelines.
Material and Methods: We conducted the study in a tertiary hospital over a period of 12 months ending in February 2006, selecting those classified as complicated appendicitis and who were approached by laparoscopy
Results: In the period of one year 386 appendectomies were performed, 42 with laparoscopic technique, 28 patients were male and 14 female. The average age was nine years. Surgical findings were: 20 gangrenous appendix, 13 and 9 perforated abscess with generalized peritonitis 9 and 33 with localized peritonitis, leaving drains in 16 cases.
The operative time was 73 minutes on average with a range of 45-170 minutes. The number of postoperative complications was three, which corresponds to an intra-abdominal abscess, surgical wound infections, one one case of intestinal obstruction. The average hospital stay was four days.
Conclusions: Recalling the limitations that the study being retrospective and statistical analysis ofcore measures, we conclude that the management of complicated appendicitis by laparoscopy is a safe alternative to direct visualization of the cavity allows for better extraction and placement drainage in cases of peritonitis, decreasing the morbidity associated with the entity itself, without being required irrigation.

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