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  • Title: Laparoscopic appendectomy for complicated appendicitis.
    Author: Frazee RC, Bohannon WT.
    Journal: Arch Surg; 1996 May; 131(5):509-11; discussion 511-3. PubMed ID: 8624197.
    Abstract:
    BACKGROUND: Acute gangrenous and perforating appendicitis are associated with an increased risk for postoperative complications and have been considered a relative contraindication of laparoscopic appendectomy. OBJECTIVE: To determine the complication rate following laparoscopic appendectomy for gangrenous of perforating appendicitis. DESIGN: A retrospective analysis of patients who underwent laparoscopic appendectomy for gangrenous or perforating appendicitis. SETTING: A multispecialty clinic. RESULTS: Fifteen patients underwent laparoscopic appendectomy for gangrenous appendicitis and 19 patients for perforating appendicitis. In the gangrenous appendicitis group, average operating time was 85 minutes; average length of hospitalization, 2 days; and morbidity rate, 7% (one patient with abdominal abscess). The perforating appendicitis group had an average operating time of 84 minutes, hospitalization of 7 days, and a morbidity rate of 42%. This morbidity included five patients (26%) who developed intra-abdominal abscesses, two patients (10%) in whom wound infections developed, and one patient (5%) who died of Candida sepsis and multisystem organ failure.
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