Appendectomized Patient and Infections after Surgery


Affiliations

  • Guilan University of Sciences, Department of Surgery, Faculty of Medicine, Rasht, Iran, Islamic Republic of

Abstract

Appendicitis is one of the common surgeries all over the world, and its diagnosis is difficult and based on clinical examinations or its symptoms. Moreover, after the surgery is accomplished, it is probable that the patient is faced with certain problems and complications. In this regard, the present study was carried out in order to review the infections caused after appendicitis surgery. The databases like PubMed, Google Scholar, and Science Direct and relevant articles were collected, in which keywords like appendicitis surgery, perforation, laparoscopy, and infection had been used. A total number of 6,000 articles were retrieved, out of which, 74 relevant articles were examined. The results of the present study indicated that perforated appendix can be the biggest cause of infection and abscess after intra-abdominal surgery. An increase in the level of C-reactive protein and leukocytes is accompanied with the risk of postoperative complications including infection and abscess. Numerous studies have reported that formation of infection and abscess after laparoscopic appendectomy is a little more than open appendectomy. It is not necessary to consume antibiotics after a non-perforated appendectomy. It is sufficient to consume antibiotics for 3 to 5 days after a perforated appendectomy to prevent infection and abscess. With the above results now it is evident that the appendicitis and its complications are still a common problem among people all over the world. There is still much to discuss among the surgeons with regards to appendicitis and its complications.

Keywords

Appendectomy, Infection, Laparoscopic, Perforating

Subject Discipline

Obstetrics and Gynaecology

Full Text:

References

Hall MJ, DeFrances CJ, Williams SN, Golosinskiy A, Schwartzman A. National hospital discharge survey: 2007 summary. Natl Health Stat Report. 2010; 29(29):1–20.

Ingraham AM, Cohen ME, Bilimoria KY, Pritts TA, Ko CY, Esposito TJ. Comparison of outcomes after laparoscopic versus open appendectomy for acute appendicitis at 222 ACS NSQIP hospitals. Surgery. 2010; 148(4):625–37.

Available from: file:///C:/Users/Wafa/Downloads/Telegram Desktop/video_2016-09-28_01-17-31.mov

Kapischke M, Friedrich F, Hedderich J, Schulz T, Caliebe A. Laparoscopic versus open appendectomy—quality of life 7 years after surgery. Langenbeck’s Archives of Surgery. 2011; 396(1):69–75.

Masoomi H, Nguyen NT, Dolich MO, Mills S, Carmichael JC, Stamos MJ. Laparoscopic appendectomy trends and outcomes in the United States: data from the Nationwide Inpatient Sample (NIS), 2004‐2011. The American Surgeon. 2014; 80(10):1074–7.

Wilson DG, Bond AK, Ladwa N, Sajid MS, Baig MK, Sains P. Intra-abdominal collections following laparoscopic versus open appendicectomy: an experience of 516 consecutive cases at a district general hospital. Surgical Endoscopy.

; 27(7):2351–6.

Bansal S, Banever GT, Karrer FM, Partrick DA. Appendicitis in children less than 5 years old: influence of age on presentation and outcome. The American Journal of Surgery. 2012; 204(6):1031–5.

Alloo J, Gerstle T, Shilyansky J, Ein SH. Appendicitis in children less than 3 years of age: a 28-year review. Pediatric Surgery International. 2004; 19(12):777–9.

Kelly KN, Fleming FJ, Aquina CT, Probst CP, Noyes K, Pegoli W, et al. Disease severity, not operative approach, drives organ space infection after pediatric appendectomy.

Annals of Surgery. 2014; 260(3):466–73.

Romano A, Parikh P, Byers P, Namias N. Simple acute appendicitis versus non-perforated gangrenous appendicitis: is there a difference in the rate of post-operative infectious complications? Surgical Infections. 2014; 15(5):517–20.

Markar SR, Blackburn S, Cobb R, Karthikesalingam A, Evans J, Kinross J, et al. Laparoscopic versus open appendectomy for complicated and uncomplicated appendicitis in children. Journal of Gastrointestinal Surgery. 2012; 16(10):1993–2004.

Asarias JR, Schlussel AT, Cafasso DE, Carlson TL, Kasprenski MC, Washington EN, et al. Incidence of postoperative intraabdominal abscesses in open versus laparoscopic appendectomies. Surgical Endoscopy. 2011; 25(8):2678–83.

Fleming FJ, Kim MJ, Messing S, Gunzler D, Salloum R, Monson JR. Balancing the risk of postoperative surgical infections: a multivariate analysis of factors associated with laparoscopic appendectomy from the NSQIP database. Annals of Surgery. 2010; 252(6):895–900.

Bliss LA, Yang CJ, Kent TS, Ng SC, Critchlow JF, Tseng JF. Appendicitis in the modern era: universal problem and variable treatment. Surgical Endoscopy. 2015; 29(7):1897– 902.

Blanco FC, Sandler AD, Nadler EP. Increased incidence of perforated appendicitis in children with obesity. Clinical Pediatrics. 2012; 51(10):928–32.

DeUgarte DA, Stark R, Kaji AH, Yaghoubian A, Tolan A, Lee SL. Obesity does not impact outcomes for appendicitis. The American Surgeon. 2012; 78(2):254–7.

Garey CL, Laituri CA, Little DC, Ostlie DJ, Peter SDS. Outcomes of perforated appendicitis in obese and nonobese children. Journal of Pediatric Surgery. 2011; 46(12):2346–8.

Bratton SL, Haberkern CM, Waldhausen JH. Acute appendicitis risks of complications: age and Medicaid insurance. Pediatrics. 2000; 106(1):75–8.

Henry MC, Walker A, Silverman BL, Gollin G, Islam S, Sylvester K, et al. Risk factors for the development of abdominal abscess following operation for perforated appendicitis in children: a multicenter case-control study. Archives of Surgery. 2007; 142(3):236–41.

Walker A, Hatch Q, Drake T, Nelson DW, Fitzpatrick E, Bingham J, et al. Predictors of appendiceal perforation in an equal access system. Journal of Surgical Research. 2014; 190(1):87–92.

Panagiotopoulou I, Parashar D, Lin R, Antonowicz S, Wells A, Bajwa F, et al. The diagnostic value of white cell count, C-reactive protein and bilirubin in acute appendicitis and its complications. The Annals of the Royal College of Surgeons of England. 2013; 95(3):215–21.

Thereaux J, Veyrie N, Corigliano N, Servajean S, Czernichow S, Bouillot J-L. Is laparoscopy a safe approach for diffuse appendicular peritonitis? Feasibility and determination of risk factors for post-operative intra-abdominal abscess. Surgical Endoscopy. 2014; 28(6):1908–13.

Brenner DJ, Hall EJ. Computed tomography—an increasing source of radiation exposure. N Engl J Med. 2007; 357:2277–84.

23. Papandria D, Goldstein SD, Rhee D, Salazar JH, Arlikar J, Gorgy A, et al. Risk of perforation increases with delay in recognition and surgery for acute appendicitis. Journal of Surgical Research. 2013; 184(2):723–9.

Teixeira PG, Sivrikoz E, Inaba K, Talving P, Lam L, Demetriades D. Appendectomy timing: waiting until the next morning increases the risk of surgical site infections. Annals of Surgery. 2012; 256(3):538–43.

Drake FT, Mottey NE, Farrokhi ET, Florence MG, Johnson MG, Mock C, et al. Time to appendectomy and risk of perforation in acute appendicitis. JAMA Surgery. 2014; 149(8):837–44.

Bhangu A. United Kingdom National Surgical Research Collaborative. Safety of short, in-hospital delays before surgery for acute appendicitis: multicentre cohort study, systematic review, and meta-analysis. Ann Surg. 2014; 259(5):894–903.

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

Semm K. Endoscopic appendectomy. Endoscopy. 1983; 15(02):59–64.

Golub R, Siddiqui F, Pohl D. Laparoscopic versus open appendectomy: a metaanalysis. Journal of the American College of Surgeons. 1998; 186(5):545–53.

Bennett J, Boddy A, Rhodes M. Choice of approach for appendicectomy: a meta-analysis of open versus laparoscopic appendicectomy. Surgical Laparoscopy Endoscopy and Percutaneous Techniques. 2007; 17(4):245–55.

Andersen BR, Kallehave FL, Andersen HK. Antibiotics versus placebo for prevention of postoperative infection after appendicectomy. Cochrane Database Syst Rev. 2005; 3.

Coakley BA, Sussman ES, Wolfson TS, Bhagavath AS, Choi JJ, Ranasinghe NE, et al. Postoperative antibiotics correlate with worse outcomes after appendectomy for nonperforated appendicitis. Journal of the American College of Surgeons. 2011; 213(6):778–83.

Nadler EP, Gaines BA. The Surgical Infection Society guidelines on antimicrobial therapy for children with appendicitis. Surgical Infections. 2008; 9(1):75–83.

Daskalakis K, Juhlin C, Påhlman L. The use of pre-or postoperative antibiotics in surgery for appendicitis: a systematic review. Scandinavian Journal of Surgery. 2014; 103(1):14–20.

Solomkin JS. Evaluating evidence and grading recommendations: the SIS/IDSA guidelines for the treatment of complicated intra-abdominal infections. Surgical Infections. 2010; 11(3):269–74.

van Rossem CC, Schreinemacher MH, Treskes K, et al.

Duration of antibiotic treatment after appendicectomy for acute complicated appendicitis. Br J Surg. 2014; 101(6):715–9.

Clark JJ, Johnson SM. Laparoscopic drainage of intraabdominal abscess after appendectomy: an alternative to laparotomy in cases not amenable to percutaneous drainage. J Pediatr Surg. 2011; 46(7):1385–9.

Scarborough JE, Bennett KM, Pappas TN. Racial disparities in outcomes after appendectomy for acute appendicitis. Am J Surg. 2012; 204(1):11–7.


Refbacks

  • There are currently no refbacks.