García-Hernández C, Carvajal-Figueroa L, Dueñas-Ramírez JC, Plascencia-Inclan S, Diaz-Cristerna A, Cueva-Carrillo J, Salazar-Chavira JL

Language: Spanish
References: 8
Page: 15-18
PDF size: 56.02 Kb.

ABSTRACT

Introduction: Means an increased risk of infectious complications in complicated cases of appendicitis treated by laparoscopy.
Objective: To demonstrate the advantages and disadvantages of laparoscopy in the treatment of complicated acute appendicitis.
Material and methods: Prospective, comparative, patients with complicated appendicitis. They were divided into: Group I and II open surgery laparoscopic approach. Analyzing demographic factors, surgical time, beginning with oral, hospital stay, abscess wall, waste .. F. Statistical Analysis Test
Results: From 2004 to 2006, 52 patients with complicated appendicitis. Operative time in group I was X = 72.64 minutes and 32.12 in group II (P = 0.0007). The start of the oral group I was X = 114.27 hrs. And in the II X = 38.52 hrs. (P = 0.005). Hospitalization in Group I with X = 31.7 days and in group II X = 3.50 days (P = 0.067). The wall abscess was present in 17 of the I and Group II only two (P = 0.004). Residual abscess in two group I and none of the II.
Discussion: The laparoscopic approach is not associated with increased morbidity and offers a shorter operative time, allows an early onset of mouth, reduced hospital stay.
Conclusion: Currently he is minimally invasive approach for the treatment of choice in children who present with acute appendicitis complicated.

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