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[Morbidity and mortality of appendicitis]
Revista De Gastroenterologia De Mexico
|September 1, 1977
Summary
Routine drainage after appendectomy did not reduce complications and may increase them. Irrational antibiotic use also failed to prevent issues, complicating diagnosis and treatment for acute appendicitis.
Area of Science:
- Surgery
- Infectious Diseases
- Clinical Medicine
Context:
- Retrospective analysis of 238 acute appendicitis cases from 1970-1971.
- Hospitalized patients at Clinical Hospital 60, Instituto Mexicano del Seguro Social.
- Evaluated surgical outcomes and complication rates.
Purpose:
- To analyze the outcomes of acute appendicitis treatment.
- To determine the efficacy of routine drainage in appendectomy.
- To assess the impact of antibiotic use on septic complications.
Summary:
- 36% of patients had early-stage appendicitis; 21.8% presented with perforation.
- Perforated appendix cases showed higher leucocyte counts and incision abscesses.
- Routine drainage increased, rather than decreased, local and systemic complications.
Impact:
- Findings challenge traditional surgical practices regarding drainage.
- Highlights risks of irrational antibiotic use in appendicitis management.
- Suggests clinical presentation is key for diagnosis, with surgery for evaluation when needed.