| 摘要 |
Appendectomy with transperitoneal and/or subcutaneous drainage has been widely accepted by most surgeons as a standard procedure in treating children with perforated appendicitis. Though drains have long been used at this hospital for this purpose, the function of drains is doubtful and the drain itself can cause trouble. This study evaluated the efficacy of such drainage. Sixty-two children with perforated appendicitis were studied, from a single hospital, to determine whether or not there were advantages to use of the drains after an appendectomy. Perforated appendicitis had occurred in 62 (22%) of the 279 appendicitis cases from May 1988 to May 1994. There· were 38 (61.3%) males, and 24 (38.7%) females. Patients were assigned to one of two groups. Thirty-one of the 62 children (50%) were the drained group, and the other 31 (50%) were the undrained. Other postoperative management including intravenous antibiotics and supportive treatment, were the same in both groups. Postoperative complications included wound infection, intra-abdominal abscess and pelvic abscess. For complications, there were no significant statistical differences between the two groups: 4/31 (12.9%) for the undrained, and 5/31 (16.1 %) for the drained, group. Hospital stay was significantly longer for the drained group (Mean 9.6 days, median 9 days) versus the undrained group (Mean 6.9 days, median 6 days). This result suggests that transperitoneal and/or subcutaneous drainages are not necessary in treating perfor ated appendicitis in children. |
