None listed
Conditions
Brief summary
It was a retrospective cohort study which reviewed files and notes of the patients who had open emergency appendectomy for complicated appendicitis and who have been already admitted and discharged from surgical wards of our institution (Kerbala medical university / Imam Hussein medical city hospital/ Kerbala/Iraq). This institution is a university hospital and a recognized centre for undergraduate and postgraduate medical studies. The permission and approval for the research was taken from the university. Patients were contacted via phone for their consent for the study and for follow up if they were alive.
Interventions
In this retrospective cohort study, files and notes were reviewed for patients who had open emergency appendectomy for complicated appendicitis (perforated appendicitis with localized abscess formation only) and who had already been discharged from surgical wards of our institution (Kerbala medical university / Imam Hussein medical city hospital/ Kerbala/Iraq). Data regarding insertion of intra-abdominal drain, length and cost of hospital stay were collected from hospital records. Patients were
In this retrospective cohort study, files and notes were reviewed for patients who had open emergency appendectomy for complicated appendicitis (perforated appendicitis with localized abscess formation only) and who had already been discharged from surgical wards of our institution (Kerbala medical university / Imam Hussein medical city hospital/ Kerbala/Iraq). Data regarding insertion of intra-abdominal drain, length and cost of hospital stay were collected from hospital records. Patients were retrospectively followed up for two months to collect data on post-operative complications (intra-peritoneal abscess and wound infection) and mortality outcome. Statistical analysis was done using Pearson Chi-square test, Independent sample t test and Mann-Whitney U Test
Sponsors
Kerbala Medical university
Eligibility
Sex/Gender
All
Healthy volunteers
No
Inclusion criteria
The patients who had open emergency appendectomy for complicated appendicitis were included in this research irrespective of their age, gender and race. The study included the patients who had perforated appendicitis with localized abscess formation only. All participants received the same course (type, dose, route of administration and duration) of antibiotics pre and post operatively. All the included patients had the same level of pre, intra and post-operative care. All these information had been taken from patients files retrospectively.
Exclusion criteria
The study excluded the following participants: (i) patients with uncomplicated appendicitis (ii) patients with other forms of complicated appendicitis such as gangrenous appendicitis, perforated appendicitis without abscess formation , periappendiceal sub-acute inflammation or others (iii) patients with laparoscopic appendectomy (iv) patients for whom other methods for preventing post-operative surgical site infection ,such as different course of antibiotics or delay wound closure etc, applied (v) immune-compromised patients such as DM, HIV or long term steroid therapy (vi)patients who received the same course of antibiotics but had antibiotics resistance due to previous exposure. This was obtained from past drug history. (vii) Patients who had a different type or level of pre, intra and post operative care.
Outcome results
None listed