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1 "Hyung Soon Lee"
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Original Article
Benign GI diease
Irrigation Versus Suction Alone During Laparoscopic Appendectomy for Uncomplicated Acute Appendicitis
Tae Gyeong Lee, Soomin Nam, Hyung Soon Lee, Jin Ho Lee, Young Ki Hong, Jung Gu Kang
Ann Coloproctol. 2020;36(1):30-34.   Published online February 29, 2020
DOI: https://doi.org/10.3393/ac.2019.06.25
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  • 4 Web of Science
  • 6 Citations
AbstractAbstract PDF
Purpose
To compare the surgical outcomes of peritoneal irrigation versus suction alone during laparoscopic appendectomy and to identify the risk factors of surgical site infection in patients with uncomplicated acute appendicitis.
Methods
Data from patients with uncomplicated acute appendicitis between January 2014 and March 2016 were reviewed. We compared the irrigation and suction alone groups with regard to the following parameters: postoperative complication incidence rate, length of hospital stay, operation time, time to flatus, time to diet commencement, and duration of postoperative antibiotic.
Results
A total of 578 patients underwent laparoscopic appendectomy for uncomplicated acute appendicitis. Twenty-five patients were excluded from the analysis because of need for drain insertion, loss to follow-up, simultaneous surgery for another indication, presence of an appendix tumor, or pregnancy. A total of 207 patients (37.4%) had undergone irrigation, and 346 patients (62.6%) received suction alone during laparoscopic appendectomy. The preoperative fever rate was significantly higher in the irrigation group than in the suction alone group. Operative time was also significantly longer in the irrigation group than in the suction alone group (53.8 ± 18.5 minutes vs. 57.8 ± 21.4 minutes, P = 0.027). The postoperative complication rate was higher in the irrigation group than in the suction alone group (4.5% vs. 12.6%, P = 0.001). Multiple logistic regression analysis showed that irrigation and preoperative fever were risk factors for surgical site infection after laparoscopic appendectomy for uncomplicated acute appendicitis.
Conclusion
There is no advantage to irrigating the peritoneal cavity over suction alone during laparoscopic appendectomy for uncomplicated acute appendicitis. Irrigation may actually prolong the operative time and therefore be detrimental.

Citations

Citations to this article as recorded by  
  • Management of appendicitis: appendicectomy, antibiotic therapy, or both?
    Elroy P. Weledji, Anutebeh V. Zisuh, Eleanore Ngounou
    Annals of Medicine & Surgery.2023; 85(4): 897.     CrossRef
  • Wound Irrigation Using Wet Gauze May Reduce Surgical Site Infection Following Laparoscopic Appendectomy
    Abdullah Al-Sawat, Ji Yeon Mun, Sung Hoon Yoon, Chul Seung Lee
    Frontiers in Surgery.2022;[Epub]     CrossRef
  • To Reduce the Incidence of Postoperative Intraabdominal Abscess, the Application of Nonoperative Management Should be Circumspect Considering Patient Factors and the Nature of Acute Appendicitis
    You Jin Lee, Kwang Hyun Yoon
    Journal of Acute Care Surgery.2022; 12(3): 111.     CrossRef
  • Effect and safety of peritoneal lavage for appendectomy: A meta-analysis
    Yi-Ting Yen, El-Wui Loh, Ka-Wai Tam
    The Surgeon.2021; 19(6): e430.     CrossRef
  • A Novel Suction-and-Irrigation Laparoscopic Surgical Instrument: Internal Design and Preclinical Performance Evaluation
    Sang Wook Yi
    Journal of Medical Devices.2021;[Epub]     CrossRef
  • Aspiration versus peritoneal lavage in appendicitis: a meta-analysis
    Gloria Burini, Maria Chiara Cianci, Marco Coccetta, Alessandro Spizzirri, Salomone Di Saverio, Riccardo Coletta, Paolo Sapienza, Andrea Mingoli, Roberto Cirocchi, Antonino Morabito
    World Journal of Emergency Surgery.2021;[Epub]     CrossRef
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