Definition of Success Rate of Appendectomy without Peritoneal Lavage in Children with Generalized Appendicular Peritonitis

AUTHORS

Mehdi Fathi 1 , Marjan Joudi 2 , * , Mehran Hiradfar 2 , Mohammad Mehdi Kamyar 3 , Maryam Joudi 4

1 Department of Cardiac Anesthesia, Mashhad University of Medical Sciences, Mashhad, Iran

2 Department of Pediatric Surgery, Mashhad University of Medical Sciences, Mashhad, Iran

3 General Surgeon, Mashhad University of Medical Sciences, Mashhad, Iran

4 Department of Pediatrics, Zahedan University of Medical Sciences, Zahedan, Iran

How to Cite: Fathi M, Joudi M, Hiradfar M, Kamyar M M, Joudi M. Definition of Success Rate of Appendectomy without Peritoneal Lavage in Children with Generalized Appendicular Peritonitis, Zahedan J Res Med Sci. 2012 ; 14(6):e93407.

ARTICLE INFORMATION

Zahedan Journal of Research in Medical Sciences: 14 (6); e93407
Published Online: December 29, 2011
Article Type: Research Article
Received: January 30, 2011
Accepted: April 09, 2011

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Abstract

Background: Peritonitis can be managed through local restoration, debridement during operation, lavage and a number of post-operative techniques such as drainage, continuous peritoneal lavage and re-operation in order to remove infective agents from the abdominal cavity as a way to prevent persistent peritonitis and sepsis. In this study, the results and complications caused by appendectomy without [diagnostic] peritoneal lavage in children with appendicular peritonitis were dealt with.
Materials and Methods: A number of 30 children with the generalized peritonitis, a complication of perforated appendicitis, were studied. Fifty mg/kg ceftriaxone, 30 mg/kg metronidazole and sedatives were prescribed for all patients. Surgeries were performed by a single surgeon through making a small transverse incision in the right lower quadrant of the abdomen which included appendectomy and removing purulent discharges and debris collected around appendix without conducting peritoneal lavage. After surgery, the patients were examined in terms of incidence of complications, any more surgeries and treatment success for 6 weeks.
Results: Five patients developed wound infection and three patients developed abdominal abscess. No early obstruction after surgery was seen. Peritonitis in all patients was controlled with appendectomy and antibiotic therapy and relaparotomy was not practiced for any patient.
Conclusion: With regard to simplicity and high speed of appendectomy without cleansing peritoneum and its shorter incision and similar complications with other studies, and its considerable success to control the disease progress and unnecessary relaparotomy for the patients used this method, it seems that this method can be a good substitution for the conventional method of making long incision at midline of the abdomen and cleansing peritoneum.

Keywords

Appendicular peritonitis Appendectomy Relaparotomy

© 2012, Zahedan Journal of Research in Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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