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[Conservative treatment of post-appendectomy abscesses].

Abstract
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.
AuthorsC Gutiérrez San-Román, A Marco Macian, J Vila Carbo, C García-Sala Viguer
JournalAnales espanoles de pediatria (An Esp Pediatr) Vol. 34 Issue 4 Pg. 273-5 (Apr 1991) ISSN: 0302-4342 [Print] Spain
Vernacular TitleTratamiento conservador de los abscesos postapendicectomía.
PMID2069275 (Publication Type: English Abstract, Journal Article)
Chemical References
  • Anti-Bacterial Agents
Topics
  • Abdomen
  • Abscess (diagnosis, drug therapy, microbiology, surgery)
  • Anti-Bacterial Agents (administration & dosage)
  • Appendectomy (adverse effects)
  • Child
  • Child, Preschool
  • Drainage
  • Female
  • Humans
  • Male
  • Postoperative Complications (diagnosis, surgery)
  • Surgical Wound Infection (diagnosis, microbiology, surgery)

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