Introduction
Peritoneal drainage has been used to prevent infectious complications after either laparoscopic or open appendectomy. Unlike in complicated appendicitis, where intraoperative drainage at the end of the procedure has clear benefits, in un-complicated appendicitis, the usefulness of peritoneal drainage is still under debate. This study aims to clarify if intraoperative drainage of the peritoneal cavity during laparoscopic appendectomy for uncomplicated appendicitis in children has beneficial consequences for the postoperative course of the patient.
Methods
In a 12-month period, we performed 120 consecutive laparoscopic appendectomies, for uncomplicated appendicitis. Postoperative drainage was used in 44 patients. We have collected and analyzed data concerning operating time, postoperative course and complications, need for analgesia, time to resumption of bowel movement and hospital stay.
Results
No significant incidents during surgery have been recorded. Postoperative intraabdominal abscesses occurred in two cases, one for each group. Mean hospital stay, operating time, the need for postoperative analgesia and regain of the gastro-intestinal transit were all longer for the drained group.
Conclusions
Complication rate, postoperative pain, hospital stay are all higher after prophylactic drainage of the peritoneal cavity after laparoscopic appendectomy for non-complicated appendicitis. The prophylactic use of abdominal drainage after laparoscopic appendectomy for non-complicated appendicitis in children does not prevent postoperative complications and has no or even negative consequences for the postoperative course of the patients.