Comparison of Early Outcome between Patients of Open Appendectomy with and without Drain for Perforated Appendicitis
Keywords:
Perforated appendix, abdominal drainage.Abstract
Objective: To compare the early outcome between patients of open appendectomy with and without drain for perforated appendicitis.
Methods: This 6-months randomized control trial was carried out Department of General Surgery, Sir Ganga Ram Hospital, Lahore. Total 68 patients of perforated appendicitis were recruited for this study after taking written informed consent. They were randomly divided into two equal groups. Group-A underwent open appendectomy with abdominal drainage while, Group-B underwent open appendectomy without abdominal drainage. A written informed consent was taken from all the patients.
Results: The mean age of the patients was 26 years. In Group-A, 58.8% patients were male and 41.2% were female while in Group-B, 47.1% patients were male and 52.9% were female (p=.331). Post-operatively, the mean length of hospital stay was significantly shorter (p<0.001)) in Group-B (3.38 days) as compared to Group-A (5.97 days). Frequency of wound infection was also significantly lower (p=0.001) in Group-B (14.7%) as compared to Group-A (52.9%).
Conclusion: Omission of abdominal drainage after appendectomy in patients of perforated appendix significantly decreased the mean length of hospital stay and post-operative wound infection.
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