RISK FACTORS AND OUTCOMES FOR SEPTIC COMPLICATIONS AFTER LAPAROSCOPIC APPENDECTOMY

Abstract

Purpose: The aim of the study is to investigate the postoperative infectious complications after laparoscopic appendectomy of patients with acute appendicitis in UMHATEM "N.I.Pirogov". Material and Methods: For a period of one year from 1.1.2018 to 31.12.2018. a total of 218 patients with acute appendicitis were operated in the General, Visceral and Emergency Surgery Department of UMHATEM "Pirogov". Of these, 143 were laparoscopic apendectomy. Indicators characterizing basic clinical and pathological features (epidemiology, demography, degree of pathological disability), surgical approach and outcomes (postoperative complications, duration of the postoperative period) were analyzed. Results: Of the 143 of the patients- women are 79 (55.24%), male -51 (44.76%). The age of the patients varies from 18 to 79 years. The laparoscopy time interval is 21-117min., and in some cases, with a prolonged operation, the conversions are included. The hospital stay ranged from 2 to 8 days. Postoperative complications were recorded in 13 cases (9.09%) - wound infection in nine (treated with VAC dressing), two patients with (0.92%) intra-abdominal abscess (PTC drained) and other 2-with ileus (with conservative treatment). Conclusion: Aggressive manipulations on infected appendix and irregular lavage can spread bacterial contamination. Compliance with standardized laparoscopic appendectomy rules and systematized training of specialists will significantly improve postoperative results.