Serious Complications Following Simple Appendectomy
Authors:
S. Trča; J. Šváb
Authors‘ workplace:
I. chirugická klinika. UK 1. LF a VFN Praha, přednosta: doc. MUDr. J. Šváb, CSc.
Published in:
Rozhl. Chir., 2008, roč. 87, č. 8, s. 413-416.
Category:
Monothematic special - Original
Overview
Fulminant phlegmone of the abdominal wall is a very rare, however feared and severe complication, which may develop following open, as well as laparoscopic appendectomies. Most studies and the common opinion consider the open procedures to be of a greater risk of early infectious complications , while the laparoscopic procedures, compared to the open surgeries, show increased rates of intraabdominal complications. Based on their own studies, the authors came to similar conclusions. On their opinion, the different appendix stump management techniques in the both procedure variations (open x laparoscopic) have an important and sometimes underrated impact on the outcome. The above may explain such treatment failures, occassionaly with even fatal outcomes. Such deaths are viewed on particularly negatively by the involved lay public.
Key words:
appendectomy – abdominal wall – phlegmone
Sources
1. Mazza, J. F. Jr., Augenstein, J. S., Kreis, D. J. Jr. Necrotizing fasciitis: a rare complication of appendicitis. South. Med. J., 1987, Sep; 80(9): 1197–1198.
2. Groth, D., Henderson, S. O. Necrotizing fasciitis due to appendicitis. Am. J. Emerg. Med., 1999, Oct; 17(6): 594–596.
3. Fujiwara, H., Nomura, H., Yasuda, K., Kuroda, D., Kato, M., Ohyanagi, H. Acute appendicitis complicated with necrotizing soft tissue infections in theelderly: report of a case. Hepatogastroenterology, 1999, May-Jun; 46(27): 1702–1705.
4. Sotrel, G., Hirsch, E., Edelin, K. C. Necrotizing fasciitis following diagnostic laparoscopy. Obstet Gynecol., 1983, Sep; 62(3 Suppl): 67s–69s.
5. Mukoyama, S., Mukai, M., Yasuda, S., Oida, Y., Himeno, S., Nishi, T., Nakasaki, H., Iwase, H., Yasuda, M., Sadahiro, S., Makuuchi, H. A successfully treated čase of severe necrotizing fasciitis caused by acute appendicitis: a case report. Tokai J. Exp. Clin. Med., 2003, Oct; 28(3): 139–143.
6. Jatagandzidis, V., Herdegen, P., Mráček, M., Levý, M., Stefka, J. Complications of the laparoscopic appendectomy. Rozhl. Chir., 2007, Jun; 86(6): 288–290.
7. Reid, R. I., Dobbs, B. R., Frizelle, F. A. Risk factors for post-appendicectomy intra-abdominal abscess. Aust. N. Z. J. Surg., 1999, May; 69(5): 373–374.
8. Paik, P. S., Towson, J. A., Anthone, G. J., Ortega, A. E., Simons, A. J., Bert, R. W. Jr. Intra-abdominal abscesses following laparoscopic and open appendectomies. J. Gastrointest. Surg., 1997, Mar-Apr; 1(2): 188–192.
9. Tang, E., Ortega, A. E., Anthone, G. J., Beart, R. W. Jr. Intraabdominal abscesses following laparoscopic and open appendectomies. Surg. Endosc., 1996, Mar; 10(3): 327–328.
10. Krisher, S. L., Browne, A., Dibbins, A., Tkacz, N., Curci, M. Intra-abdominal abscess after laparoscopic appendectomy for perforated appendicitis. Arch. Surg., 2001, Apr; 136(4): 438–441.
11. Katkhouda, N., Friedlander, M. H., Grant, S. W., Achanta, K. K., Essani, R., Paik, P., Velmahos, G., Campos, G., Mason, R., Mavor, E. Intraabdominal abscess rate after laparoscopic appendectomy. Am. J. Surg., 2000, Dec; 180(6): 456–459; discussion 460–461.
12. Yagmurlu, A., Vernon, A., Barnhart, D. C., Georgeson, K. E., Harmon, C. M. Laparoscopic appendectomy for perforated appendicitis: a comparison with open appendectomy. Surg, Endosc., 2006, Jul; 20(7): 1051–1054. Epub 2006 May 26.
13. Pokala, N., Sadhasivam, S., Kiran, R. P., Parithivel, V. Complicated apendicitis – is the laparoscopic approach appropriate? A comparative study with the open approach: outcome in a community hospital setting. Am. Surg., 2007, Aug; 73(8): 737–741; discussion 741–742.
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Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2008 Issue 8
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