|
KMID : 0371619990150010059
|
|
Journal of Wonkwang Medical Science
1999 Volume.15 No. 1 p.59 ~ p.62
|
|
|
The Importance of Fecalith Detection During Operation in Perforated Appendicitis
|
|
Lee Hwan-Bong
|
|
|
Abstract
|
|
|
Background: Inspite of certainty that lost fecalith would inevitably cause intraabdominal abscess after appendectomy, it has not been emphasized enough to remove any missed fecalith during appendectomy in case of perforated appendicitis.
Methods: Through the operations of 64 patients due to perforated appendicitis, under the same method and the same surgeon, any missed fecalith was explored thoroughly if it was not found around the perforation site or in the appendicial lumen.
Results: 24 patients had intraluminal fecalithes and 4 patients had spillaged fecalithes into the peritoneal cavity, which could be removed by thorough exploration. Intraabdominal abscess occured in 2 patients (3.1%) of fecalithless perforated appendicitis inspite of full attention about the possibility of missing and remaining of fecalith in peritoneal cavity.
Conclusion: The acceptable 3.1% incidence of intra-abdominal infectious complication comparing to other reports on same subjects has been possible by reducing 4 cases of complication inevitale if the fecalith were not removed. This study suggested that full attention and thorough exploration of peritoneal cavity is mandatory if fecalith is not found around the perforated appendix.
|
|
|
KEYWORD
|
|
|
fecalith, perforated appendicitis
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|