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Role of dissemination of microorganisms during laparoscopic appendectomy in abscess formation

Melih Akın1, Başak Erginel1, Abdullah Yıldız1

  • 1Department of Pediatric Surgery, Şişli Etfal Training and Research Hospital, İstanbul, Turkey.

Ulusal Travma Ve Acil Cerrahi Dergisi = Turkish Journal of Trauma & Emergency Surgery : TJTES
|March 19, 2014
PubMed
Abstract

Insights

Laparoscopic appendectomy did not increase postoperative intra-abdominal infections. Bacterial counts, both aerobic and anaerobic, were significantly reduced after the procedure, suggesting it is a safe surgical option.

Area of Science:

  • Surgical infection research
  • Microbiology
  • Laparoscopic surgery

Background:

  • Postoperative intra-abdominal infections are a concern following appendectomy.
  • Investigating the role of laparoscopic appendectomy in infection development is crucial.

Purpose of the Study:

  • To determine if laparoscopic appendectomy contributes to postoperative intra-abdominal infections.
  • To analyze microbiological changes in the peritoneum before and after laparoscopic appendectomy.

Main Methods:

  • Prospective study of 48 patients undergoing laparoscopic appendectomy.
  • Collection of peritoneal samples for aerobic and anaerobic cultures pre- and post-procedure.
  • Statistical analysis comparing pre- and post-operative bacterial counts.

Main Results:

  • Pre-appendectomy aerobic bacteria (e.g., Escherichia coli) found in 38% of patients; post-procedure reduced to 14.6%.
  • Pre-appendectomy anaerobic bacteria (e.g., Bacteroides fragilis) found in 25% of patients; post-procedure reduced to 8.3%.
  • Statistically significant reduction in both aerobic and anaerobic bacterial counts post-laparoscopic appendectomy (p<0.05).

Conclusions:

  • Laparoscopic appendectomy does not appear to increase the risk of intra-abdominal infections.
  • The procedure is particularly not associated with an increase in anaerobic bacterial infections.

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