Pelvic sepsis following laparoscopic appendicectomy versus open appendicectomy: a retrospective study of 648 cases

Hannah L. Adams; Sheik S. Jaunoo

doi:10.18203/2349-2902.isj20150494

Authors

Hannah L. Adams Warwickshire Surgical Research Group, Coventry, CV2 2DX
Sheik S. Jaunoo Oxford University Hospitals, Oxford, OX3 7LE

DOI:

https://doi.org/10.18203/2349-2902.isj20150494

Keywords:

Laparoscopic appendicectomy, Open appendicectomy, Pelvic sepsis, Appendicitis

Abstract

Background:The purpose of this retrospective study was to evaluate the development of postoperative pelvic collections following Laparoscopic Appendicectomy (LA) and Open Appendicectomy (OA).

Methods:A retrospective analysis of all patients undergoing emergency appendicectomy between February 2010 and January 2012 at a single UK tertiary care referral centre were considered for inclusion in this study. Data collection was undertaken and analysed using descriptive statistics.

Results:Of the 648 appendicectomies (361 male, 287 female), 177 were performed laparoscopically. Histology confirmed appendicitis in 484 patients. There were 19 cases of pelvic sepsis (LA n=2, OA n=17), not statistically significant (p=0.1184).

Conclusions:Laparoscopic appendicectomy is a safe operative procedure and is not associated with an increased risk of pelvic sepsis.

Metrics

Metrics Loading ...

References

Ozguner IF, Buyukayavuz BI, Savas MC. The influence of delay on perforation in childhood appendicitis. A retrospective analysis of 58 cases. Saudi Med J. 2004;25:1232-6.

Zhang Y, Zhao YY, Qiao J, Ye RH. Diagnosis of appendicitis during pregnancy and peritoneal outcome in the late pregnancy. Chin Med J. 2009;122:521-4.

Khalil J, Muqim R, Rafique M, Khan M. Laparoscopic versus open appendectomy: a comparison of primary outcome measures. Saudi J Gastroenterol. 2011;17(4):236-40.

Fahim F, Shirjeel S. A comparison between presentation time and delay in surgery in simple and advanced appendicitis. J Ayub Med Coll Abbottabad. 2005;17:37-9.

Kumar B, Samad A, Khanzada TA, Laghari MH, Shaikh AR. Superiority of laparoscopic appendectomy over open appendectomy: the Hyderabad experience. Rawal Med J. 2008;33:165-8.

McBurney C. The incision made in the abdominal wall in cases of appendicitis, with a description of a new method of operating. Ann Surg. 1894;20(1):38-43.

McBurney C. Experience with early operative interference in cases of disease of the vermiform appendix. NY State Med J. 1889;12:676-87.

Chung RS, Rowland DY, Li P, Diaz J. A meta-analysis of randomized controlled trials of laparoscopic versus conventional appendicectomy. Am J Surg. 1999;177:250-6.

Semm K. Endoscopic appendectomy. Endoscopy. 1983;15(2):59-64.

Asarias JR, Schlussel AT, Cafasso DE, Carlson TL, Kasprenski MC, Washington EN, et al. Incidence of postoperative intraabdominal abscesses in open versus laparoscopic appendectomies. Surg Endosc. 2011;25:2678-83.

Yau KK, Siu WT, Tang CN, Yang GP, Li MK. Larascopic versus open appendectomy for complicated appendicitis. J Am Coll Surg. 2007;205:60-5.

Sleem R, Fisher S, Gestring M, Cheng J, Sangosanya A, Stassen N, et al. Perforated appendicitis: Is early laparoscopic appendectomy appropriate? Surgery. 2009;146(4):731-8.

Krisher SL, Browne A, Dibbins A, Tkacz N, Curci M. Intra-abdominal abscess after laparoscopic appendectomy for perforated appendicitis. Arch Surg. 2001;136:438-41.

Frazee RC, Bohannon WT. Laparoscopic appendectomy for complicated appendicitis. Arch Surg. 1996;131:509-12.

Hussain A, Mahmood H, Nicholls MJ, El-Hasani S. Prevention of intra-abdominal abscess following laparoscopic appendicectomy for perforated appendicitis: a prospective study. Int J Surg. 2008;6:374-7.

Golub R, Siddiqui F, Pohl D. Laparoscopic versus open appendectomy: a meta-analysis. J Am Coll Surg. 1998;186:545-53.

Sauerland S, Lefering R, Holthausen U, Neugebauer EA. Laparoscopic vs. conventional appendectomy - a meta-analysis of randomised controlled trials. Langenbeck’s Arch Surg. 1998;383:289-95.

Paik PS, Towson JA, Anthone GJ, Ortega AE, Simons AJ, Beart RW Jr. Intra-abdominal abscesses following laparoscopic and open appendicectomies. J Gastrointest Surg. 1997;1(2):188-93.

Pedersen AG, Petersen OB, Wara P, Rønning H, Qvist N, Laurberg S. Randomized clinical trial of laparoscopic versus open appendicectomy. Br J Surg. 2001;88:200-5.

Jan WA, Usman M, Haleem A, Khan SM, Khan AS, Hussain M. Per-operative findings and post-operative complications with laparoscopic appendicectomy. J Postgrad Med Inst (JPMI). 2010;24(1):52-7.

Marzouk M, Khater M, Elsadek M, Abdelmoghny A. Laparoscopic vs. open appendectomy. Surg Endosc. 2003;17:721-4.

Tang E, Ortega AE, Anthone GJ, Beart RW Jr. Intraabdominal abscesses following laparoscopic and open appendectomies. Surg Endosc. 1996;10:327-8.

Merhoff AM, Merhoff GC, Franklin ME. Laparoscopic versus open appendectomy. Am J Surg. 2000;179:375-8.

Krukowski ZH, Irwin ST, Denholm S, Mathewson MA. Preventing wound infection after appendectomy: a review. Br J Surg. 1998;75:1023-33.

Kehagias I, Karamanakos SN, Panagiotopoulos S, Panagopoulos K, Kalfarentzos F. Laparoscopic versus open appendectomy: which way to go? World J Gastroenterol. 2008;14(31):4909-14.

Andersen Br, Kallehave FL, Andersen HK. Antibiotics versus placebo for prevention of postoperative infection after appendectomy. Cochrane Database Syst Rev. 2003;2:CD001439.

Khan S. The diagnostic value of hyperbilirubinemia and total leucocyte count in the evaluation of acute appendicitis. JCDR. 2009;3:1647-52.

De Dombal FT, Leaper DJ, Staniland JR, McCann AP, Horrocks JC. Computer-aided diagnosis of acute abdominal pain. Br Med J. 1972;2:9-13.

Deutsch A, Shani N, Reiss R. Are some appendectomies unnecessary: and analysis of 319 white appendices. JR Coll Surg Edinb. 1983;28:35-40.

Simmen HP, Decurtins M, Rotzer A, Duff C, Brütsch HP, Largiadèr F. Emergency room patients with abdominal pain unrelated to trauma: prospective analysis in a surgical university hospital. Hepatogastroenterology. 1991;38:279-82.

Rao PM, Rhea JT, Novelline RA. Helical CT of appendicitis and diverticulitis. Radiol Clin North Am. 1999;37:895-910.

Atahan K, Ureyen O, Aslan E, Deniz M, Çökmez A, Gür S, et al. Preoperative diagnostic role of hyperbilirubinaemia as a marker of appendix perforation. J Int Med Res. 2011;39:609-18.

Carbonell AM, Burns JM, Lincourt AE, Harold KL. Outcomes of laparoscopic versus open appendectomy. Am Surg. 2004;70:759-66.

Jaunoo SS, Hale AL, Masters JPM, Jaunoo SR. An international survey of opinion regarding investigation of possible appendicitis and laparoscopic management of a macroscopically normal appendix. Ann RCS Eng. 2012;94(7):476-80.