[Conservative management of postappendectomy intraperitoneal abscess. Preliminary results].
OBJECTIVE
For decades, prestigious authors of surgical texts have established that intraperitoneal abscess should be managed by laparotomy, drainage of pus, and antibiotics. However, availability of new and more powerful antimicrobials have allowed for other therapeutic modalities.


METHODS
Thirty children in whom clinical or sonographic presence of purulent collection in peritoneal cavity as consequence of appendectomy were studied. With Ethical Committee and parental consent, we filled out the corresponding protocol. We decided to carry out pre-and post-test sonogram and administration of gentamycin 5-7 mg/kg/day or cefotaxime 100 mg/kg/day IV for 10-14 days.


RESULTS
There was improvement in all cases within the first 72 h and curing during the second week. No patient required laparotomy. Employment of antimicrobials was curative.
Baeza-Herrera
Carlos
C
Departamento de Cirugía General, Hospital Pediátrico Moctezuma, Mexico, D.F.
Jaimes
Gregorio
G
Villalobos-Ayala
Donaciano
D
Velasco-Soria
Luis
L
Velasco-Ruiz
Jovita Eva
JE
D000038:Abscess / Q000188:drug therapy* / Q000209:etiology*; D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001062:Appendectomy / Q000009:adverse effects*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D010532:Peritoneal Diseases / Q000188:drug therapy* / Q000209:etiology*; D011446:Prospective Studies
D000900:Anti-Bacterial Agents