Meta-analysis of peritoneal lavage in appendicectomy.

ABSTRACT:

Background

The use of peritoneal lavage to prevent postoperative intra-abdominal abscess (IAA) after appendicectomy has been debated widely.

Methods

A systematic review and meta-analysis of suction alone versus lavage for appendicitis was performed to determine the relative benefit of lavage. Primary outcomes were postoperative IAA and wound infection (WI). Inclusion criteria were human studies reporting a comparison of appendicectomy with or without peritoneal lavage.

Results

Eight studies met the inclusion criteria, the majority of which were retrospective. Only three were RCTs. Four studies included analysis only of the paediatric population. The rate of IAA was 1·0-19·5 per cent in patients receiving suction alone and 1·5-18·6 per cent in those having lavag

SUBMITTER: Gammeri E 

PROVIDER: S-EPMC6354188 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature