Frequency of port-site infection in children undergoing laparoscopic appendectomy for uncomplicated appendicitis
Keywords:Acute appendicitis, Laparoscopic appendectomy, Port site infection
Background: Laparoscopic appendectomy is being practiced throughout the world for the treatment of acute appendicitis in children and adults. The objective of this study was to determine the frequency of port sites infection in children undergoing laparoscopic appendectomy at our institution.
Methods: The study was conducted at the Pediatric Surgery Unit of Lady Reading Hospital Peshawar from January 2014 to Jan 2015. All the patients with the diagnosis of acute appendicitis underwent a three-port laparoscopic appendectomy. Port-site infection was noted postoperatively.
Results: Total number of patients in this study was 207 including 138 males (66.70%) and 69 (33.3%) females (M:F 2:1). The age ranged from 6 to 14 years, with mean age of 11 years ±2.096. The overall complications occurred in 39 (18.84%) patients. The port-site infection occurred in 33 (16%) patients. Port-site infection involved only the umbilical port sites and was superficial. Port-site infection was managed conservatively without any sequelae.
Conclusion: Laparoscopic appendectomy is a safe technique in children with port-site infection rate of 16%. There is no morbidity as all the port-site infections occurred at umbilical port-site were superficial thus managed conservatively.
Li X, Zhang J, Sang L, Zhang W, Chu Z, Li X, et al. Laparoscopic versus conventional appendectomy-a meta-analysis of randomized controlled trials. BMC Gastroenterol. 2010; 10:1-8.
Coccolini F, Fugazzola P, Sartelli M, Cicuttin E, Sibilla MG, Leandro G, et al. Conservative treatment of acute appendicitis. Acta Biomed. 2018; 89:119-34. doi:https://doi.org/10.23750/abm.v89i9-S.7905.
Switzer NJ, Gill RS, Karmali S. The evolution of the appendectomy: from open to laparoscopic to single incision. Scientifica. 2012; 2012. Available from: https://www.hindawi.com/journals/scientifica/2012/895469/
Khan MN, Fayyad T, Cecil TD, Moran BJ. Laparoscopic versus open appendectomy: the risk of postoperative infectious complications. J Soc Laparoendoscop Surg. 2007; 11:363.
Hossain T, Haq A. Pediatric laparoscopic surgery, three years’ experience in a tertiary level hospital in Dhaka Bangladesh. Bangladesh J Endosurg. 2013; 1:21-5.
Nazir A, Farooqi SA, Chaudhary NA, Bhatti HW, Waqar M, Sadiq A. Comparison of open appendectomy and laparoscopic appendectomy in perforated appendicitis. Cureus. 2019; 11. Available from: https://doi.org/10.7759/cureus.5105
Jan WA, Usman M, Haleem A, Khan SM, Khan AS, Hussain M. Per-operative findings and post-operative complications with laparoscopic appendicectomy. J Postgraduate Med Inst. 2010; 24. Available from:
Nicolaj MS, Fristrup C, Gabres T, Qvist N, Rasmussen L. Acceptable outcome after laparoscopic appendectomy in children. Dan Med J. 2013; 60:1-4.
Deepak J, Agarwal P, Bagdi RK, Balagopal S, Madhu R, Balamourougane P, et al. Laparoscopic appendicectomy is a favorable alternative for complicated appendicitis in children. J Indian Assoc Pediatr Surg. 2008; 13:97-100.
Adisa AO, Alatise OI, Arowolo OA, Lawal OO. Laparoscopic appendectomy in a Nigerian teaching hospital. J Soc Laparoendoscop Surg. 2012; 16:576.
Abdelaty MY, Lolah MA, Mohamed MA, Arafa AS. Laparoscopic versus open appendectomy in children. Menoufia Med J. 2014; 27:244.
Saha N, Saha DK, Rahman MA, Islam MK, Aziz MA. Comparison of post operative morbidity between laparoscopic and open appendectomy in children. Mymensingh Med J. 2010; 19:348-52.
Mohamed AA, Mahran KM. Laparoscopic appendectomy in complicated appendicitis: Is it safe?. J Min Acc Surg. 2013; 9:55-8.
Costa-Navarro D, Jiménez-Fuertes M, Illán-Riquelme A. Laparoscopic appendectomy: quality care and cost-effectiveness for today’s economy. World J Emerg Surg. 2013; 8:1-5.
Meguerditchian AN, Prasil P, Cloutier R, Leclerc S, Péloquin J, Roy G. Laparoscopic appendectomy in children: a favorable alternative in simple and complicated appendicitis. J Pediatr Surg. 2002; 37:695-8.
Gołębiewski A, Łosin M, Murawski M, Wiejek A, Lubacka D, Czauderna P. One, two or three port appendectomy–a rational approach. Wideochir Inne Tech Maloinwazyjne. 2013; 8:226-231.
Khairi A, Lolah M, Khalaf AA, Tolba M. Two-Port Versus Three-Port Laparoscopic Appendectomy In Children. Ann Pediatr Surg. 2010; 6:140-3.
Zubair M, Jaffery AH, Yousuf M. Initial experience of laparoscopic appendicectomy with suprapubic camera port. Pak J Med Sci. 2009; 25:83-6.
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