[Postoperative result in appendectomy with Pouchet technique versus other surgical techniques]

Area of Science:

• Surgical Innovation
• Gastrointestinal Surgery
• Clinical Outcomes Research

Background:

• Acute appendicitis represents a global surgical emergency.
• Effective closure of the appendiceal stump is crucial for preventing postoperative complications.
• Various techniques exist for appendiceal stump closure, each with potential impacts on patient outcomes.

Purpose of the Study:

• To evaluate and compare the postoperative outcomes associated with the Pouchet technique for appendiceal stump closure against alternative methods.
• To identify the most effective appendiceal stump closure technique in terms of patient recovery and complication rates.

Main Methods:

• A retrospective analysis of 118 adult patients undergoing surgery for acute appendicitis was conducted.
• Surgical techniques compared included Pouchet, Halsted, Zuckerman, and Parker.
• Postoperative outcomes, including infectious complications, operative time, and length of hospital stay, were statistically analyzed using the chi-square test.

Main Results:

• The Pouchet technique was the most frequently used method (62.7%).
• Pouchet and Halsted techniques were significantly associated with shorter operative times and hospital stays (p=0.000 and p=0.011).
• Pouchet and Parker techniques showed significant differences in the incidence of infectious complications (p=0.030).

Conclusions:

• The Pouchet technique demonstrated superior postoperative outcomes.
• This includes reduced operative time, shorter hospital stay duration, and a lower incidence of infectious complications.
• The findings support the Pouchet technique as an effective method for appendiceal stump closure.