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Es hora de evitar el drenaje profiláctico intraabdominal en la apendicitis aguda complicada: una revisión sistemática

Mohamed Wael Ahmed¹, Yousra Elshoura¹, Neal Pun¹

¹General Surgery, Queen's Hospital, University Hospitals of Derby and Burton NHS Foundation Trust, Staffordshire, GBR.

|December 12, 2025

Resumen

Para la apendicitis complicada, esta revisión encontró que no usar drenajes abdominales después de la apendicectomía condujo a menos complicaciones y estancias hospitalarias más cortas. Los niños tuvieron un mayor riesgo de colección abdominal cuando se usaron drenajes.

Conclusiones:

El uso rutinario de drenajes abdominales en la apendicectomía para apendicitis complicada se asocia con un aumento de las complicaciones postoperatorias.
Omitir los drenajes puede conducir a mejores resultados para los pacientes, incluidas tasas de infección reducidas y hospitalizaciones más cortas.
Los drenajes abdominales pueden aumentar el riesgo de colección abdominal en pacientes pediátricos sometidos a apendicectomía para apendicitis complicada.

Palabras clave:

apendicitis aguda complicada duración de la estancia hospitalaria colección intraabdominal drenajes intraabdominales íleo paralítico apendicitis pediátrica drenajes quirúrgicos

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