In patients having key-hole surgery for appendicitis, does it matter if we use a thorough washout of the contaminated area or just suck out the contamination? This is a study to compare the rates of post-operative infection with the two methods.

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Laparoscopic appendicectomy is one of the most commonly performed urgent abdominal operations. Current practices of Irrigation or Suction-only are largely determined by individual surgeon’s bias based on intra-operative findings. To date, there is only one randomized, controlled trial comparing irrigation with suction only in children and none in adults. There is some retrospective data in children and adults. All of the existing data suggests “no difference” between these operative methods; in fact, some retrospective data suggest higher intra-abdominal abscess rates in irrigation groups, however there has never been a randomized trial in adults. There remains clinical equipoise and current practice is widely varied. Our hypothesis is that there is no difference between the two surgical methods and we aim to demonstrate that it doesn't matter to the patient which method is used.

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