surgical wound infections after laparoscopic appendectomy with or without using reusable retrieval bag: a retrospective study

نویسندگان

ahmed e lasheen general and laparoscopic department, faculty of medicine, zagazig university, zagazig, egypt; general and laparoscopic department, faculty of medicine, zagazig university, zagazig, egypt. tel: +20-552343035, fax: +20-552307830

osama abd elaziz general and laparoscopic department, faculty of medicine, zagazig university, zagazig, egyptسازمان اصلی تایید شده: 0 دانشگاه های خارج از کشور

salah abd elaal general and laparoscopic department, faculty of medicine, zagazig university, zagazig, egyptسازمان اصلی تایید شده: 0 دانشگاه های خارج از کشور

mohammed alkilany general and laparoscopic department, faculty of medicine, zagazig university, zagazig, egyptسازمان اصلی تایید شده: 0 دانشگاه های خارج از کشور

چکیده

conclusions surgical wound infections are less common by using reusable retrieval bag during laparoscopic appendectomy procedure. also, using reusable retrieval bag has less cost. patients and methods one hundred twenty laparoscopic appendectomies performed over one year, were included in this retrospective study. the patients were divided into 2 group; group a was the one in which la was done with using reusable retrieval bag and group b without using that. demographic details, operative time, hospital stay and infective postoperative complications were recorded. results this patient groups were selected to be similar in both groups a and b in form of appendicitis types. each group included 27 (45%) acute catarrhal appendicitis, 20 (33.3%) suppurative appendicitis and 13 (21.7%) perforated appendicitis, p = 1.0. the median patients ages were 21 years (range, 16 to 49) in group a and 25 years (range, 18 to 56) in group b, p = 0.053. group a included 60 patients (35 males and 25 females) and group b 60 patients (32 males and 28 females), p = 0.071. mean operative time in group a was 55.7 minutes and in group b was 57 minutes, p = 0.0231. superficial wound infections were recorded in one patient (1.7%) in group a and in 8 patients (13.3%) in group b, p = 0.007. intra-abdominal abscess formation was a complicated outcome in 2 patients (3.3%) of group b, p = 0.005. mean hospital stay was 1.6 days in group a and 2.7 days in group b, p = 0.05. background despite the reported advantages of laparoscopic appendectomy (la), an ongoing debate exists about a possible increase in postoperative infectious complication rates. the analyses of risk factors associated with surgical site infections (ssis) after la, have been limited.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Underweight Body Mass Index as a Predictive Factor for Surgical Site Infections after Laparoscopic Appendectomy

PURPOSE Analyses of risk factors associated with surgical site infections (SSIs) after laparoscopic appendectomy (LA) have been limited. Especially, the association of an underweight body mass index (BMI) with SSIs has not been clearly defined. This study aimed to identify the impact of underweight BMI in predicting SSIs after LA. MATERIALS AND METHODS The records of a total of 101 consecutiv...

متن کامل

Reconstruction of Acute Acromioclavicular (AC) Joint Dislocations with or without Tendon Graft: a Retrospective Comparative Study

Background: Reconstructions of acute acromioclavicular (AC) dislocations have been thought to result in superioroutcomes than chronic dislocations. The use of tendon graft in reconstructions has demonstrated favorablebiomechanical properties. To determine whether utilizing tendon graft during repair of acute AC dislocations results insuperior outcomes and lower complication ra...

متن کامل

Hematocele After Laparoscopic Appendectomy

BACKGROUND Laparoscopic appendectomy is one of the most common laparoscopic surgeries performed. We report an unusual complication of hematocele after laparoscopic appendectomy. CASE DESCRIPTION A 48-y-old male presented with swelling and discomfort in his right scrotum 11 d after he underwent laparoscopic appendectomy for acute appendicitis. Before the surgery, he had no scrotal swelling or ...

متن کامل

Laparoscopic splenectomy for splenomegaly using a homemade retrieval BAG

INTRODUCTION Operating on an enlarged spleen via the laparoscopic approach presents several challenges. A homemade bag may facilitate retrieval of the enlarged spleen assisted by a laparoscope and save medical expense. AIM To assess the feasibility and safety of laparoscopic splenectomy for moderate or massive splenomegaly using our technique and a homemade retrieval bag. MATERIAL AND METHO...

متن کامل

Cost-effective appendectomy. Open or laparoscopic? A prospective randomized study.

BACKGROUND The aim of this study was to compare the outcome and cost-effectiveness of laparoscopic (LA) and open appendectomy (OA). METHODS Forty consecutive patients were randomized to either the LA (n = 19) or OA (n = 21) group. RESULTS The medians of operative times in the LA and OA groups were 31.5 and 41 min, respectively. The total operation room times were 91 and 82 min, respectively...

متن کامل

Midgut volvulus after laparoscopic appendectomy.

The authors report a case of a 13-year old child who was submitted to a laparoscopic appendectomy and developed, during the postoperative period, an intestinal obstruction caused by small bowel volvulus in the absence of a congenital malrotation.

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
journal of minimally invasive surgical sciences

جلد ۵، شماره ۲، صفحات ۰-۰

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023