A 2 years retrospective, observational cohort study on Use of Drains and Post-Operative Complications in Complicated Acute Appendicitis at ZMH and MH
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Date
2024-10-01
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Addis Ababa University
Abstract
Background: Complicated acute appendicitis is a significant surgical challenge, usually managed with prophylactic drains to reduce post -operative complications. However, the benefit of drain usage remains controversial. Objective: This study aimed at evaluating the role of drains in managing complicated acute appendicitis by analyzing their impact on post – operative complications, recovery, and hospitalization time. Methods: A two-year retrospective observational cohort study was conducted on 209 patients with complicated acute appendicitis at MH and ZMH. We categorized patients into two groups: patients with drains (n=104) and patients without drains (n=105). Then we analyzed Data on hospitalization time, post – operative fever, surgical site infection (SSI), residual collections, and reoperation rates. Results: Patients in drain group had longer hospitalization times (mean of 6.44 days) compared to those in no drain group (mean of 4.31 days). Post -operative fever (56.8% vs. 44.8%), SSI (39 .4% vs. 30 .5%), residual collections (6.7% vs. 3.8%), and reoperation rates (5.8% vs. 2.9%) were all higher in the drain group. Despite these differences in drain vs no drain group, all patients were discharged improved. Conclusion: Routine use of drains does not consistently reduce post-operative complications; in contrary it may increase certain complications. A case-based drain placement, guided by intraoperative findings, is advised to optimize patient outcomes. And further research is needed to develop a clinical guideline.
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A 2 years retrospective, observational cohort study, post-operative