2008, Number 4
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Rev Mex Cir Pediatr 2008; 15 (4)
The utility of the drains in Complicated Appendicitis
López-Villarreal VH, Soriano-Ortega RE, Molina R
Language: Spanish
References: 13
Page: 175-178
PDF size: 87.34 Kb.
ABSTRACT
Introduction: Studies do not exist that demonstrate the utility of the drainages in the patients with complicated appendicitis. The objective is to see if advantages in the use of drainages in patients with complicated appendicitis exist.
Material and Methods: 64 patients with diagnosis of complicated appendicitis, divided in two groups: The first with drainages (i) and second iwithout drainages (II). We determine the clinical characteristics of the patients, uninformed time of posoperatorio, time of hospital stay, and incidence of complications
Results: The clinical characteristics were similar. The uninformed time of posoperatorio was of 1.8 in group I and 1,6 in group II; the hospital stay was 3,6 in group I and 3,4 in group II. In group one, 2 patients had infection of the wound; and in group II, a patient. Single a patient I present/display residual abscess, belongs to group II.
Conclusions: The use of drainages does not represent any advantage for the patient with complicated appendicitis.
REFERENCES
Addiss DG, Shaffer N, Fowler BS, Tauxe RV The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol 1990; 132:910-925.
McCahy P Continuing fall in the incidence of acute appendicitis. Ann R Coll Surg Engl 1994; 76:282-283.
Linz DN, Hrabovsky EE, Gauderer MWL Does the current health care environment contribute to increased morbidity and mortality of acute appendicitis in children? J Pediatr Surg 1993; 28:321-328.
Stone HH, Sanders SL, Martin JD Perforated appendicitis in children. Surgery 1971; 69:673-679.
Marchildon MB, Dudgeon DL Perforated appendicitis: current experience in a children’s hospital. Ann Surg 1977; 185:84-87.
Putnam TC, Gagliano N, Emmens RW Appendicitis in children. Surg Gynecol Obstet 1990; 170:527-532.
Gamal R, Moore TC Appendicitis in children aged 13 years and younger. Am J Surg 1990; 159:589-592.
Samelson SL, Reyes HM Management of perforated appendicitis in children-revisited. Arch Surg 1987; 122:691-696.
Korner H, Sondenaa K, Soreide JA, Incidence of acute non-perforated and perforated appendicitis: age-specific and sex-specific analysis. World J Surg 1997; 21:313-317.
Luckman R Incidence and case fatality rates for acute appendicitis in California: a population- based study of the effects of age. Am J Epidemiol 1989; 129:905-918.
Susan L. Bratton, Charles M. Haberkern, MD, John H. T. Waldhausen, Pediatrics Vol. 106 No. 1 July 2000, pp. 75-78.
Marion C. W. Henry, MD, MPH; Angela Walker, BS; Bonnie L. Silverman, PhD; Gerald Gollin, MD; Saleem Islam, MD; Karl Sylvester, MD; R. Lawrence Moss, MD Arch Surg. 2007;142:236-241.
David A. Johnson, Ann M. Kosloske and Colin Macarthur. Perforated appendicitis in children: to drain or not to drain?. Pediatric Surgery Internacional. Vol 8, No 5, July, 1993.