Antimicrobial treatment after laparoscopic appendectomy for preventing a post-operative intraabdominal abscess: A Prospective Cohort Study of 1817 patients

International Journal of Surgery
Jinbeom ChoJunhyun Lee

Abstract

Post-operative antimicrobial treatment is usually administered to prevent a post-operative intraabdominal abscess (IAA) after laparoscopic appendectomy (LA). The aim of this study was to identify the role of post-operative antibiotic treatment and the optimal length for the antibiotic course to prevent post-operative IAA after LA. Between January 2010 and December 2013, 1817 patients who underwent three-port LA were enrolled in this study. Patients were classified into four groups according to the type of appendicitis and infectious source control. The characteristics of antimicrobial treatment and the incidence of IAA were analyzed and compared among the four groups. The incidence of IAA after three-port LA was 1.5% (27/1817). The mean durations of post-operative antibiotic use were 3.1 days for the non-IAA group and 3.3 days for the IAA group, with no significant difference between the groups (p = 0.510). The length of post-operative antibiotic treatment and antimicrobial combination therapy did not affect the development of IAA, and prolonged antibiotic treatment did not prevent IAA. However, when source control was not completely achieved, an IAA was frequently observed in the patient group that received a short course of a...Continue Reading

References

Jun 10, 2005·ANZ Journal of Surgery·Lik Man MuiEnders K W Ng
Dec 9, 2009·American Journal of Surgery·Dinhkim LeJohn Langell
Dec 26, 2009·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Joseph S SolomkinJohn G Bartlett
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Apr 4, 2015·Journal of Pediatric Surgery·Sara C FallonJ Ruben Rodriguez
May 21, 2015·The New England Journal of Medicine·Robert G SawyerUNKNOWN STOP-IT Trial Investigators

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Citations

Apr 17, 2020·World Journal of Emergency Surgery : WJES·Salomone Di SaverioFausto Catena
Jul 15, 2017·Annals of Surgical Treatment and Research·Jinbeom ChoJunhyun Lee
Dec 7, 2018·Pediatric Surgery International·Joseph A SujkaShawn D St Peter

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