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Aziz et al. Laparoscopicsuction in paediatrics post-appendectomy

reliable symptom to suspect IAA or collection post this technique for all centres which advocate minimally
appendectomy. Ultrasound was the only radiological invasive technique in children.
tool needed for our patients to confirm the diagnosis of
IAA compared to the other series. There was no IAA DECLARATIONS
following appendectomy for suppurative appendicitis
in our series. From our review, DLS was easy to do. It Authors’ contributions
provided us with immediate cessation of fever for the Original idea and drafting of text: D.A.A. Aziz, Z.A.
patients and relieved of their symptoms (abdominal Latiff
pain poor appetite and refusal to ambulate). Patients Literature review and data collection: S. Said, F. Lim,
were able to mobilise faster post-DLS too, compared M. Mohd Nor
to those who had percutaneous drainage. Patients Data analysis: M. Osman, F. Mohd Zaki
were also able to be discharged earlier than those who
underwent percutaneous drainage. Technically, DLS Financial support and sponsorship
did not require any additional port insertion and the None.
technique of DLS was quite straight forward, the ease
is probably because the abscesses were still early Conflicts of interest
in their phase and less complicated. This technique There are no conflicts of interest.
was also feasible for patient who had undergone open
appendectomy; provided the scar did not interfere with Patient consent
area for port insertion.
Parental consent was obtained for all patients.
Following success of this series, we would like
to propose a simple guideline on laparoscopic Ethics approval
management of IAA post-appendectomy [Figure 1]. Reviews based on our existing audit is waived for
Intraabdominal abscess post appendectomy is not a ethical approval.
complication that any centre would like to have in high
numbers, as a result of the low incidence, we were not REFERENCES
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