PMID- 34341301
OWN - NLM
STAT- MEDLINE
DCOM- 20210819
LR  - 20220425
IS  - 0974-5998 (Electronic)
IS  - 0189-6725 (Print)
IS  - 0974-5998 (Linking)
VI  - 18
IP  - 4
DP  - 2021 Oct-Dec
TI  - Predictive factors of post-laparoscopic appendectomy peritoneal collection in 
      children and adolescents with complicated appendicitis.
PG  - 190-194
LID - 10.4103/ajps.AJPS_166_20 [doi]
AB  - INTRODUCTION: Intra-peritoneal collection (IPC) following laparoscopic 
      appendectomy (LA) of complicated appendicitis in children is a serious 
      complication. This is associated with a longer duration of hospital stay, more 
      costs, and psychological upsets of both children and their parents. The aim of 
      this study is to evaluate different factors that may affect the development of 
      IPC following LA of complicated appendicitis. PATIENTS AND METHODS: Seventy-five 
      children were admitted with acute complicated appendicitis. All of them had LA 
      between January 2016 and October 2020. The following variables were studied: 
      patients' demographics, clinical findings, laboratory and imaging studies and 
      operative parameters. Patients were divided according to their post-operative 
      course into two groups; Group (A): patients with IPC (n = 19), Group (B): 
      patients without IPC (n = 56). Potential risk factors for the development of 
      post-operative IPC were identified by univariate and multivariate logistic 
      regression analysis. RESULTS: Nineteen cases (25.3%), out of 75 patients, 
      presented with post-operative collection. Forty-seven (62.7%) patients were 
      males, the overall median age was 11 (inter-quartile range [IQR] 10-13). The most 
      significant operative variable was the operative time, which was significantly 
      longer in Group A, 78 min (IQR 75-88) versus 56 (50-66), P = 0.001. The following 
      variables were associated with an elevated incidence of post-operative IPC; age, 
      body mass index, total leucocytic count (TLC), duration of symptoms, pediatric 
      appendicitis score, pre-operative morbidity, being on medications, operative 
      time, suction and irrigation or suction only and drain duration. In the 
      multivariate model, TLC (odds ratios [OR]: 1.358, P 0.006), symptoms duration 
      (OR: 2.051, P 0.012), morbidity (OR: 2.064, P 0.041) and operative time (OR: 
      2.631, P 0.039) were statistically significant and confirmed as being predictors 
      of IPC post-LA in complicated appendicitis. CONCLUSION: Post-operative IPC is 
      quite common after LA for complicated appendicitis. Increased TLC, prolonged 
      symptoms duration, associated co-morbidity and operative time could be predictors 
      of its occurrence. Improving general condition, surgical technique and reducing 
      operative time help to reduce its incidence.
FAU - Khirallah, Mohammad Gharieb
AU  - Khirallah MG
AD  - Department of Pediatric Surgery, Tanta University, Tanta, Egypt.
FAU - Elsossuky, Nagi Ebrahim
AU  - Elsossuky NE
AD  - Department of Pediatric Surgery, Tanta University, Tanta, Egypt.
FAU - Ghazaly, Mohamed
AU  - Ghazaly M
AD  - Department of Surgery, Tanta University, Tanta, Egypt.
LA  - eng
PT  - Journal Article
PL  - India
TA  - Afr J Paediatr Surg
JT  - African journal of paediatric surgery : AJPS
JID - 101255062
SB  - IM
MH  - Adolescent
MH  - Appendectomy/adverse effects
MH  - *Appendicitis/epidemiology/surgery
MH  - Child
MH  - Humans
MH  - *Laparoscopy
MH  - Length of Stay
MH  - Male
MH  - Postoperative Complications/epidemiology
MH  - Retrospective Studies
MH  - Treatment Outcome
PMC - PMC8423169
OTO - NOTNLM
OT  - Acute appendicitis
OT  - children
OT  - intraperitoneal collection
OT  - laparoscopic
COIS- None
EDAT- 2021/08/04 06:00
MHDA- 2021/08/20 06:00
PMCR- 2021/10/01
CRDT- 2021/08/03 05:51
PHST- 2021/08/03 05:51 [entrez]
PHST- 2021/08/04 06:00 [pubmed]
PHST- 2021/08/20 06:00 [medline]
PHST- 2021/10/01 00:00 [pmc-release]
AID - AfrJPaediatrSurg_2021_18_4_190_322780 [pii]
AID - AJPS-18-190 [pii]
AID - 10.4103/ajps.AJPS_166_20 [doi]
PST - ppublish
SO  - Afr J Paediatr Surg. 2021 Oct-Dec;18(4):190-194. doi: 10.4103/ajps.AJPS_166_20.