Drain or Not to Drain in Appendectomy for Perforated Appendicitis

Wajeh Al-Shahwany, Imad; Naief Hindoosh, Laith; Rassam, Raid; Al-Qadhi, Abbas

	Drain or Not to Drain in Appendectomy for Perforated Appendicitis
Iraqi Postgraduate Medical Journal
Article 1, Volume 11, Issue 3, 2012, Pages 349-352 PDF (0 K)
Authors
Imad Wajeh Al-Shahwany; Laith Naief Hindoosh; Raid Rassam; Abbas Al-Qadhi
Abstract
ABSTRACT: BACKGROUND: Acute appendicitis is the most common surgical cause of acute abdomen necessating surgical intervention. Prophylactic drainage is commonly used in surgical practice, as in acute perforated appendicitis. OBJECTIVE: To evaluate the advantages & disadvantages of the prophylactic drainage after appendectomy for acute perforated appendicitis. METHODS: Eighty four patients of acute perforated appendicitis were enrolled in this prospective comparative study done in Al-Kindy Teaching Hospital from October 2009 to March 2011. They were divided into two groups; 46 patients (54.76%) drainage group & 38 patients (46.24%) non-drainage group. Hospital stay time & postoperative wound infection were assessed in both groups. Statistical analysis using Minitab software version 14 to calculate the P value was done. RESULTS: Patients’ age ranged from 6-50 years (mean27±12), male:female ratio was 2.6:1. The incidence of perforation in acute appendicitis was 15.9% irrelevant to age or sex. Mean hospital stay time was 36 hours in the non-drainage group & mean of 58±4 in the drained group. Wound infection was 39.13% in the drainage group & 36.84% in the non-drainage group, with a P value was >0.05. CONCLUSION: postoperative wound infection & hospital stay were less in the non-drainage group for this prophylactic drainage should be reconsidered
Keywords
acute perforated appendicitis; peritoneal drainage; appendectomy

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