Aspiration versus peritoneal lavage in appendicitis: a meta-analysis.

ABSTRACT:

Background

Acute appendicitis is one of the most frequent abdominal surgical emergencies. Intra-abdominal abscess is a frequent post-operative complication. The aim of this meta-analysis was to compare peritoneal irrigation and suction versus suction only when performing appendectomy for complicated appendicitis.

Methods

According to PRISMA guidelines, a systematic review was conducted and registered into the Prospero register (CRD42020186848). The risk of bias was defined to be from low to moderate.

Results

Seventeen studies (9 RCTs and 8 CCTs) were selected, including 5315 patients. There was no statistical significance in post-operative intra-abdominal abscess in open (RR 1.27, 95% CI 0.75-2.15; I² = 74%) and laparoscopic group (RR 1.51, 95% CI 0.73-3.13

SUBMITTER: Burini G 

PROVIDER: S-EPMC8419906 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature