- 期刊
The Efficacy and Safety of Intra-Abdominal Drainage After Emergency Laparoscopic Appendectomy for Complicated Appendicitis
摘要
Objectives: Laparoscopic appendectomy (LA) has been increasingly used for the management of complicated appendicitis in both children and adults. However, it remains controversial that placement of intra-abdominal drains is justified. Methods: A retrospective cohort study presented data on LA performed in 28 patients without a prophylactic intra-abdominal drain (no drain group) was compared with 21 historical control LAs performed with a drain left (drain group). Only those patients suffering complicated appendicitis were included in this study. Efficacy of drain was based on rates of complications and other surgical parameters. Results: The two groups were well matched with respect to the demographics, co-morbidities and surgical findings. The no drain group had significantly shorter time under anesthesia, faster resumption of oral intake of food, a shorter duration of intravenous antibiotic use, and a shorter hospitalization than the group with drains. Conclusions: Routine use of drains after LA for complicated appendicitis appears to be unnecessary and even harmful, but this should be confirmed by further studies.
延伸閱讀
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