Abstract
Background: Laparoscopic appendectomy is being practiced throughout the world for the treatment of acute appendicitis in children and adults. The objective of this study was to determine the frequency of port sites infection in children undergoing laparoscopic appendectomy at our institution. Methods: The study was conducted at the Pediatric Surgery Unit of Lady Reading Hospital Peshawar from January 2014 to Jan 2015. All the patients with the diagnosis of acute appendicitis underwent a three-port laparoscopic appendectomy. Port-site infection was noted postoperatively. Results: Total number of patients in this study was 207 including 138 males (66.70%) and 69 (33.3%) females (M:F 2:1). The age ranged from 6 to 14 years, with mean age of 11 years ±2.096. The overall complications occurred in 39 (18.84%) patients. The port-site infection occurred in 33 (16%) patients. Port-site infection involved only the umbilical port sites and was superficial. Port-site infection was managed conservatively without any sequelae. Conclusion: Laparoscopic appendectomy is a safe technique in children with port-site infection rate of 16%. There is no morbidity as all the port-site infections occurred at umbilical port-site were superficial thus managed conservatively.
Highlights
Acute appendicitis is the one of the common causes of acute abdominal pain in children presenting to the surgical emergency.[1]
The frequency of surgical site infection in laparoscopic appendectomy is varied among different series,[7,8,9,10,11,12,13,14,15,16,17] this study was done to provide the local data on port-site infection in our patients undergoing laparoscopic appendectomy
6 patients were diagnosed to have port-site infection (PSI) at the time of discharge and the remaining 27 patients were diagnosed during the first follow-up visit on 10th postoperative
Summary
Acute appendicitis is the one of the common causes of acute abdominal pain in children presenting to the surgical emergency.[1] It is generally treated with appendectomy though conservative management is advised.[2] Appendicectomy when needed can be performed as open or laparoscopic procedure.[3]. Laparoscopic approach is being practiced in various abdominal surgical conditions including appendicitis. Laparoscopic appendectomy is being practiced throughout the world for the treatment of acute appendicitis in children and adults. The objective of this study was to determine the frequency of port sites infection in children undergoing laparoscopic appendectomy at our institution
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