Is Drainage of Abdominal Cavity Necessary After Laparoscopic Appendectomy?

Jurij Janež*

Received: June 2, 2018;   Published: July 02, 2018

DOI: 10.26717/BJSTR.2018.06.001321

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Abstract

Acute appendicitis is one of the most common causes of acute abdominal pain and is one of the most common surgical abdominal emergencies. Nowadays, patients with acute appendicitis are managed in most cases with laparoscopic appendectomy, which is usually performed through three small skin incisions and three trocars [1]. In the past, conventional open appendectomy was the treatment of choice and was the gold standard of treatment for patients with acute appendicitis. In open appendectomy, a small skin incision in the right inferior abdominal quadrant over BcBurney point was performed and the appendix was removed through a relatively small wound. An abdominal drain was rarely used after open appendectomy. Certain studies suggested increased intra-abdominal abscess rates following laparoscopic appendectomy, especially for perforated appendicitis, because of this drainage of the abdominal cavity is more common after laparoscopic appendectomy [2]. The routine use of abdominal drain after laparoscopic appendectomy is still under debate.

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