Cargando…
Irrigation Versus Suction Alone During Laparoscopic Appendectomy for Uncomplicated Acute Appendicitis
PURPOSE: To compare the surgical outcomes of peritoneal irrigation versus suction alone during laparoscopic appendectomy and to identify the risk factors of surgical site infection in patients with uncomplicated acute appendicitis. METHODS: Data from patients with uncomplicated acute appendicitis be...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Coloproctology
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7069673/ https://www.ncbi.nlm.nih.gov/pubmed/32146786 http://dx.doi.org/10.3393/ac.2019.06.25 |
_version_ | 1783505823079596032 |
---|---|
author | Lee, Tae Gyeong Nam, Soomin Lee, Hyung Soon Lee, Jin Ho Hong, Young Ki Kang, Jung Gu |
author_facet | Lee, Tae Gyeong Nam, Soomin Lee, Hyung Soon Lee, Jin Ho Hong, Young Ki Kang, Jung Gu |
author_sort | Lee, Tae Gyeong |
collection | PubMed |
description | PURPOSE: To compare the surgical outcomes of peritoneal irrigation versus suction alone during laparoscopic appendectomy and to identify the risk factors of surgical site infection in patients with uncomplicated acute appendicitis. METHODS: Data from patients with uncomplicated acute appendicitis between January 2014 and March 2016 were reviewed. We compared the irrigation and suction alone groups with regard to the following parameters: postoperative complication incidence rate, length of hospital stay, operation time, time to flatus, time to diet commencement, and duration of postoperative antibiotic. RESULTS: A total of 578 patients underwent laparoscopic appendectomy for uncomplicated acute appendicitis. Twenty-five patients were excluded from the analysis because of need for drain insertion, loss to follow-up, simultaneous surgery for another indication, presence of an appendix tumor, or pregnancy. A total of 207 patients (37.4%) had undergone irrigation, and 346 patients (62.6%) received suction alone during laparoscopic appendectomy. The preoperative fever rate was significantly higher in the irrigation group than in the suction alone group. Operative time was also significantly longer in the irrigation group than in the suction alone group (53.8 ± 18.5 minutes vs. 57.8 ± 21.4 minutes, P = 0.027). The postoperative complication rate was higher in the irrigation group than in the suction alone group (4.5% vs. 12.6%, P = 0.001). Multiple logistic regression analysis showed that irrigation and preoperative fever were risk factors for surgical site infection after laparoscopic appendectomy for uncomplicated acute appendicitis. CONCLUSION: There is no advantage to irrigating the peritoneal cavity over suction alone during laparoscopic appendectomy for uncomplicated acute appendicitis. Irrigation may actually prolong the operative time and therefore be detrimental. |
format | Online Article Text |
id | pubmed-7069673 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Korean Society of Coloproctology |
record_format | MEDLINE/PubMed |
spelling | pubmed-70696732020-03-23 Irrigation Versus Suction Alone During Laparoscopic Appendectomy for Uncomplicated Acute Appendicitis Lee, Tae Gyeong Nam, Soomin Lee, Hyung Soon Lee, Jin Ho Hong, Young Ki Kang, Jung Gu Ann Coloproctol Original Article PURPOSE: To compare the surgical outcomes of peritoneal irrigation versus suction alone during laparoscopic appendectomy and to identify the risk factors of surgical site infection in patients with uncomplicated acute appendicitis. METHODS: Data from patients with uncomplicated acute appendicitis between January 2014 and March 2016 were reviewed. We compared the irrigation and suction alone groups with regard to the following parameters: postoperative complication incidence rate, length of hospital stay, operation time, time to flatus, time to diet commencement, and duration of postoperative antibiotic. RESULTS: A total of 578 patients underwent laparoscopic appendectomy for uncomplicated acute appendicitis. Twenty-five patients were excluded from the analysis because of need for drain insertion, loss to follow-up, simultaneous surgery for another indication, presence of an appendix tumor, or pregnancy. A total of 207 patients (37.4%) had undergone irrigation, and 346 patients (62.6%) received suction alone during laparoscopic appendectomy. The preoperative fever rate was significantly higher in the irrigation group than in the suction alone group. Operative time was also significantly longer in the irrigation group than in the suction alone group (53.8 ± 18.5 minutes vs. 57.8 ± 21.4 minutes, P = 0.027). The postoperative complication rate was higher in the irrigation group than in the suction alone group (4.5% vs. 12.6%, P = 0.001). Multiple logistic regression analysis showed that irrigation and preoperative fever were risk factors for surgical site infection after laparoscopic appendectomy for uncomplicated acute appendicitis. CONCLUSION: There is no advantage to irrigating the peritoneal cavity over suction alone during laparoscopic appendectomy for uncomplicated acute appendicitis. Irrigation may actually prolong the operative time and therefore be detrimental. Korean Society of Coloproctology 2020-02 2020-02-29 /pmc/articles/PMC7069673/ /pubmed/32146786 http://dx.doi.org/10.3393/ac.2019.06.25 Text en Copyright © 2020 The Korean Society of Coloproctology This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Lee, Tae Gyeong Nam, Soomin Lee, Hyung Soon Lee, Jin Ho Hong, Young Ki Kang, Jung Gu Irrigation Versus Suction Alone During Laparoscopic Appendectomy for Uncomplicated Acute Appendicitis |
title | Irrigation Versus Suction Alone During Laparoscopic Appendectomy for Uncomplicated Acute Appendicitis |
title_full | Irrigation Versus Suction Alone During Laparoscopic Appendectomy for Uncomplicated Acute Appendicitis |
title_fullStr | Irrigation Versus Suction Alone During Laparoscopic Appendectomy for Uncomplicated Acute Appendicitis |
title_full_unstemmed | Irrigation Versus Suction Alone During Laparoscopic Appendectomy for Uncomplicated Acute Appendicitis |
title_short | Irrigation Versus Suction Alone During Laparoscopic Appendectomy for Uncomplicated Acute Appendicitis |
title_sort | irrigation versus suction alone during laparoscopic appendectomy for uncomplicated acute appendicitis |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7069673/ https://www.ncbi.nlm.nih.gov/pubmed/32146786 http://dx.doi.org/10.3393/ac.2019.06.25 |
work_keys_str_mv | AT leetaegyeong irrigationversussuctionaloneduringlaparoscopicappendectomyforuncomplicatedacuteappendicitis AT namsoomin irrigationversussuctionaloneduringlaparoscopicappendectomyforuncomplicatedacuteappendicitis AT leehyungsoon irrigationversussuctionaloneduringlaparoscopicappendectomyforuncomplicatedacuteappendicitis AT leejinho irrigationversussuctionaloneduringlaparoscopicappendectomyforuncomplicatedacuteappendicitis AT hongyoungki irrigationversussuctionaloneduringlaparoscopicappendectomyforuncomplicatedacuteappendicitis AT kangjunggu irrigationversussuctionaloneduringlaparoscopicappendectomyforuncomplicatedacuteappendicitis |