Abstract

CASTANEDA-ESPINOSA, Sergio David et al. Change in the macroscopic classification of appendicitis. Does it have any impact? Retrospective study in a Pediatric teaching hospital. rev.fac.med. [online]. 2015, vol.63, n.2, pp.243-250. ISSN 0120-0011.  https://doi.org/10.15446/revfacmed.v63n2.49316.

Background. The current definition differences the acute appendix in nonperforated and perforated. This classification describes the perforated appendicitis as those with the presence of a visible hole in the appendix or the presence of a free fecalito in the cavity and changed the postoperative current management. Objective. Determine whether the change in the macroscopic definition of acute appendicitis have any influence on the length of hospital stay and complication rates given the change in the post-operative antibiotic treatment. Materials and Methods. Patients undergoing surgery with a diagnosis of acute appendicitis in the first half of 2009 and the second half of 2011. Patients excluded were those taken to surgery for diagnostic laparoscopy by study of abdominal pain, also incidental appendectomy and patients managed in the protocol of appendectomy interval. Results. A decrease in the number of hospital days /year and the number of doses of antibiotic/ year and decrease in the number of complications was observed which demonstrates that the classification and current management protocol are not correlated with an increase in number of complications and is associated with lower costs. Conclusions. The change in the macroscopic classification and provide the new definition of perforated appendicitis has reduced hospital stay and the amount of antibiotics used without a significant impact on the rate of complications.

Keywords : Anti-Bacterial Agents; Appendicitis; Sepsis; Postoperative care; Postoperative antibiotic.

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