Abstract

ROJAS MONDRAGON, Leonardo; SERRATO FELIX, Marcos José  and  HERRERA FERNANDEZ, Fernando E.. Surgical management of complicated appendicitis without using drainages. Cir. gen [online]. 2012, vol.34, n.3, pp.185-188. ISSN 1405-0099.

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.

Keywords : Acute appendicitis; appendectomy; drainage; complicated appendicitis.

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