Laparoscopic appendectomy for perforated appendicitis in children: Is intraperitoneal drainage necessary?

[SoruCevap]

Laparoscopic appendectomy for perforated appendicitis in children: Is intraperitoneal drainage necessary?

Çocuklarda perfore apandisitlerde laparoskopik apendektomi: İntraperitoneal drenaj gerekli midir?

Mithat Günaydın, Dilek Demirel, Ferit Bernay, Ender Arıtürk, Ünal Bıçakcı, Burak Tander

ABSTRACT

Objective:In this study, our aim is to evaluate the necessity of intraperitoneal drainage in perforated appendicitis.

Methods: 510 pediatric patients [246 laparoscopic (LA) and 264 open (OA)] underwent appendectomy between 2007 and 2014. 275 of them were perforated appendicitis (106 LA, 169 OA). The patients were retrospectively evaluated in terms of age, sex, symptoms, length of hospital stay (LOHS), antibiotherapy, postoperative nasogastric tube placement and intraperitoneal drainage, follow-up period, intraoperative and postoperative complications.

Results:Statistically significant differences were observed between laparoscopic perforated appendicitis (71 male, 35 female; median 9.5 years) and open perforated appendicitis (108 male, 61 female; median 9 years) groups in terms of placement of nasogastric tube (102/106 vs.169/169) (p=0.021), length of hospital stay (1.67± 0.11 days vs. 2.34± 0.09 days) (p