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2012, Number 3

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Cir Gen 2012; 34 (3)

Surgical management of complicated appendicitis without using drainages

Rojas ML, Serrato FMJ, Herrera FFE

Language: Spanish
References: 27
Page: 185-188
PDF size: 69.35 Kb.


ABSTRACT

Objective: To assess complications in patients subjected to surgery due to complicated appendicitis and managed without drainage.
Setting: General Hospital of the State of Sonora “Dr. Ernesto Ramos Bours”, Mexico.
Design: Retrospective, cross-sectional, descriptive and observational study.
Statistical analysis: Percentages as summary measure for qualitative variables.
Patients and methods: We included 101 patients with a diagnosis of acute complicated appendicitis; in 97 of them no drainage was used. Assessed variables were post-operative complications, as well as the use of antibiotics in all patients, and results were compared with the published literature on post-surgical complications due to complicated appendicitis.
Results: Of the 97 patients, managed without drainage, eight presented complications (8.2%): fever in three, seroma in one, superficial infection at the surgical site in two, and deep infection at the surgical site (intra-abdominal collections) in two. All patients responded to therapeutic handling, without re-intervention.
Conclusion: The complication rate was 8.2%, which is below that reported in the reviewed literature.


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