ArticleLangenbeck's archives of surgery2024
Risk factors for developing intra-abdominal abscess following appendicectomy for acute appendicitis: a retrospective cohort study.
Article in Langenbeck's archives of surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Unfavorable management outcome and its predictors among appendicitis patients in ethiopia: a systematic review and meta- analysis.BMC surgery · 2025Pooled it
- Risk factors for intra-abdominal abscess formation after appendectomy: a multicenter retrospective cohort study from Africa.BMC surgery · 2026Article
- Delayed residual intra-abdominal abscess with threatened preterm labor after laparoscopic appendectomy in the second trimester.Journal of surgical case reports · 2026Article
- Epidemiological profile and risk factors of acute appendicitis in India.Bioinformation · 2026Article
- Assessment of frailty and inflammatory burden index as predictors of postoperative IAA in elderly appendectomy patients.BMC surgery · 2025Article
- Comparison of early vs. routine removal of abdominal drainage tube after laparoscopic appendectomy for perforated appendicitis: a retrospective cohort study.Frontiers in surgery · 2025Article
- Review
- Postoperative abdominal wall actinomycosis mimicking malignancy: a case report and literature review.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologieReview
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4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic appendicectomy is commonly performed in Australia for treatment of acute appendicitis. Intra-abdominal abscess (IAA) is a potential complication following appendicectomy for acute appendicitis. Risk factors for developing post-operative IAA remain controversial and poorly defined. Laparoscopic washout may be performed for patients who develop complication(s) including IAA. The aim of this study was to define risk factors for both the development of IAA and identify patients who may require laparoscopic washout following appendicectomy.
methodsData were obtained from 423 patients who underwent laparoscopic appendicectomy over a five-year period (2012-2017). Clinical (fever, haemodynamics, examination findings), biochemical (white cell count, neutrophil count, C-reactive protein, bilirubin, albumin), radiological (CT free fluid), and operative factors (inflammation, suppuration, free-fluid, perforation, histopathology) collected in the pre-, peri-, and post-operative period(s) were analysed.
results23 (5.4%) patients developed post-operative IAA. Duration of intravenous antibiotics was significantly longer in patients who developed IAA and in those who required laparoscopic washout (p < 0.0001). C-reactive protein (CRP) on admission (p < 0.05) and appendiceal perforation (p = 0.0005) were significantly higher in patients who either developed IAA or needed laparoscopic washout. No clinical or radiological finding predicted either the development of IAA or need for laparoscopic washout.
conclusionElevated CRP on admission may predict the development of post-operative IAA formation or the need for laparoscopic washout post-appendicectomy. Prolonged post-operative antibiotic use appears independent of the development of IAA as well as the need for laparoscopic washout. These data highlight the need for clear guidelines on peri-operative antibiotic use following appendicectomy.
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