Carlos A Rosero, MDFACS, Andres G Moreno, MDFACS. Hospital Carlos Andrade Marín, Quito, Ecuador
Introduction: Seeking the best treatment of the peritoneal cavity in case of secondary peritonitis is a surgeons’ permanent concern and it is essential for the adequate management of the patient.
Objective: To compare the results of thoroughly washing the peritoneal cavity vs simply just drying the peritoneal cavity in cases of secondary peritonitis due to acute perforated appendicitis.
Materials and methods: A retrospective observational study was carried out in the General Surgery Department at Carlos Andrade Marín Specialties Hospital, from January 2016 to December 2017. The study main end-point was assessing the postoperative complication between peritoneal lavage versus cavity drying.
Results: The records of 301 patients, 212 (70.4%) who underwent peritoneal lavage and 89 (29.6%) with just drying the peritoneum. The frequency of complications between both groups did not reach statistical significance. The only significant variable was the operative time (OR 1.01, p<0.005).
Conclusions: No statistically significant differences were found with the type of cavity management in patients with peritonitis secondary to perforated appendicitis (lavage versus cavity drying).
Keywords: Peritoneal lavage, Peritoneal cavity drying, Perforated appendicitis, Peritoneal cavity.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95819
Program Number: P003
Presentation Session: Poster Session (Non CME)
Presentation Type: Poster