[Conservative treatment of post-appendectomy abscesses].
The standard form of treatment for an abscess in the abdominal cavity is surgical drainage. We present a prospective study of 626 patients under the age of ten who underwent appendectomy. The antibiotic prophylaxis consists of cefoxitin and ampicillin. Postoperative intra-abdominal abscess were found in 1.4% of the patients who were then treated with antibiotics (metronidazole plus amicacin). Following this course of treatment, of the nine abscess, 4 required no surgical drainage, and progressed favourably as shown by the clinical controls and ultrasonography (US). In 3 patients, percutaneous drainage was performed and controlled by US. This paper shows that antibiotic therapy is a useful alternative in the treatment of postappendectomy intraabdominal abscess.
Gutiérrez San-Román
C
C
Departamento de Cirugía Pediátrica H, Infaltil La Fe.
Marco Macian
A
A
Vila Carbo
J
J
García-Sala Viguer
C
C
D000005:Abdomen; D000038:Abscess / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001062:Appendectomy / Q000009:adverse effects*; D002648:Child; D002675:Child, Preschool; D004322:Drainage; D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery
D000900:Anti-Bacterial Agents
Tratamiento conservador de los abscesos postapendicectomía.