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The Role Of Delayed Laparoscopic Suction For Intra-abdominal Collection Or Abscess Post Appendectomy In Paediatric Patients: Case Series And Review Of Literature

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dc.contributor.authorDayang Anita Abdul Azizen_US
dc.contributor.authorSurita Saiden_US
dc.contributor.authorMarjmin Osmanen_US
dc.contributor.authorFelicia Limen_US
dc.contributor.authorMahmud Mohd Noren_US
dc.contributor.authorFaizah Mohd Zakien_US
dc.contributor.authorZarina Abdul Latiffen_US
dc.date.accessioned2024-05-28T03:29:26Z
dc.date.available2024-05-28T03:29:26Z
dc.date.issued2017
dc.date.submitted--
dc.description.abstractAim: Intra-abdominal collection or abscess (IAA) is a dreaded complication post open or laparoscopic appendectomy for perforated appendicitis. There have been many discussions on the role of laparoscopic irrigation during laparoscopic appendectomy for perforated appendix but not its role for patients who subsequently developed IAA post-surgery. Methods: All patients who developed clinical symptoms and radiological evidence of IAA of more than 5 cm � 5 cm post appendectomy from January 2014 to May 2016 were subjected to delayed laparoscopic suction (DLS) of the IAA. Days to resolution of fever and improvement of symptoms post the DLS were recorded. Complications during DLS like bowel injury, bleeding and conversion to open surgery were documented and analysed. Patients were followed up for 1 month to a year to look for potential adhesive intestinal obstruction. Results: Seven patients who met the criteria of large IAA were subjected to DLS at post-operative day 3 to day 5 post appendectomy. Six of the cases were post laparoscopic appendectomy and one case was post open appendectomy from another institution. Ports were inserted via the same sites as used during the first surgery. Turbid intraperitoneal fluid and abscesses were laparoscopically sucked without irrigation. There was no bowel injury, bleeding or conversion in any of the cases. All patients were afebrile within 24 h post procedure and their associated symptoms improved significantly. All patients were discharged within three days of DLS and have not returned with adhesive obstruction.en_US
dc.identifier.citationAziz DAA, Said S, Osman M, Lim F, Nor MM, Zaki FM, Latiff ZA. The role of delayed laparoscopic suction for intra-abdominal collection or abscess post appendectomy in paediatric patients: case series and review of literature. Mini-invasive Surg 2017;1:143-7. http://dx.doi.org/10.20517/2574-1225.2017.20en_US
dc.identifier.doi10.20517/2574-1225.2017.20
dc.identifier.epage147
dc.identifier.issn2574-1225
dc.identifier.other1723-7
dc.identifier.spage143
dc.identifier.urihttps://misjournal.net/article/view/2145
dc.identifier.urihttps://oarep.usim.edu.my/handle/123456789/4440
dc.identifier.volume1
dc.language.isoenen_US
dc.publisherOAE Publishing Inc.en_US
dc.relation.ispartofMini-invasive Surgeryen_US
dc.subjectIntraabdominal abscess, appendicitis, laparoscopic, paediatricsen_US
dc.titleThe Role Of Delayed Laparoscopic Suction For Intra-abdominal Collection Or Abscess Post Appendectomy In Paediatric Patients: Case Series And Review Of Literatureen_US
dc.typeArticleen_US
dspace.entity.typePublication

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