ArticleSurgical endoscopy2021
Minimally invasive step-up approach for the management of postoperative intraabdominal abscess after laparoscopic appendectomy.
Article in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 19 citations in OpenAlex.
- Bacterial Etiology and Antimicrobial Susceptibility Patterns in Pediatric Intra-Abdominal Infections-Implications for Empirical Treatment and Antimicrobial Stewardship.Pharmaceuticals (Basel, Switzerland) · 2026Article
- Prospective validation of a therapeutic algorithm for postoperative intra-abdominal abscess after laparoscopic appendectomy.Surgical endoscopy · 2025Article
- The Management of Post-appendectomy Abscess in Children; A Historical Cohort Study and Update of the Literature.Frontiers in pediatrics · 2022Article
- Surgical and obstetrical outcomes after laparoscopic appendectomy during pregnancy: a case-matched analysis.Archives of gynecology and obstetrics · 2021Article
- Re-laparoscopy for the treatment of complications after laparoscopic appendectomy: is it possible to maintain the minimally invasive approach?Updates in surgery · 2021Article
- Risk Factors for Readmission After Short-Hospital-Stay Laparoscopic Appendectomy.World journal of surgery · 2020Article
- Usefulness of intraoperative culture swabs in laparoscopic appendectomy for complicated appendicitis.Langenbeck's archives of surgery · 2020Article
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4 authors at 1 institution in 1 country.
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Abstract
backgroundPostoperative intraabdominal abscess (IAA) is the most feared complication after laparoscopic appendectomy (LA). We aimed to evaluate the management of this complication in a large cohort of patients undergoing LA in order to design a treatment algorithm.
methodsWe included a consecutive series of patients undergoing LA for acute appendicitis from January 2008 to December 2018. The cohort of patients with postoperative IAA was divided into three groups based on the implemented treatments: G1: antibiotics only, G2: CT-guided drainage, and G3: laparoscopic lavage. Characteristics of the fluid collections and outcomes were analyzed in the three groups.
resultsA total of 1668 LA were performed; the rate of IAA was 2.2% (36 patients). There were 12 (33%) patients who received antibiotics only (G1), 8 (22%) underwent CT-guided percutaneous drainage (G2), and 16 (45%) underwent laparoscopic lavage (G3). The median size of the abscesses was 2.7 (1.2-4) cm in G1, 6.2 (4.5-8) cm in G2, and 9.6 (8-11.4) cm in G3 (p < 0.04). Patients with two or more fluid collections underwent a laparoscopic lavage in all cases. Treatment failure occurred in 16% (2/12), 12.5% (1/8) and 12.5% (2/16) of the patients in G1, G2, and G3, respectively. None of the patients in the entire cohort required open surgery to resolve the postoperative IAA.
conclusionsA minimally invasive step-up approach based on the size and number of fluid collections is associated with excellent outcomes. A treatment algorithm for post-appendectomy IAA is proposed.
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