Does use of intraoperative irrigation with open or laparoscopic appendectomy reduce post-operative XXXX ?

@entity1 @entity6177 @entity733 @entity86
To date, no study shows a @entity86 with the use of irrigation during appendectomy. @entity86 rate for laparoscopic and open appendectomy is 3.3 and 2.6 per cent. The purpose of this study is to determine if irrigation at appendectomy decreases the @entity6177 rate. Retrospective chart review of 176 consecutive appendectomies, open (39%) and laparoscopic (61%), at a university affiliated tertiary care facility from July 2007 to November 2008 for use of intraoperative irrigation was performed. @entity1 under age 18 were excluded. There were no differences between the irrigation groups in regards to age, sex, or weight. Perforation was observed in 28 per cent (50/176), of which 86 per cent (43/50) of @entity1 received intraoperative irrigation. Eleven @entity1 (9.6%) with irrigation developed @entity86 compared with two (3.3%) @entity1 without irrigation (P = 0.22). Our results do not show decrease in @entity6177 with use of intraoperative irrigation. Thirteen @entity1 developed @entity86 : 11 with irrigation, two without irrigation. Ten of 13 @entity1 who developed @entity733 were perforated; nine with irrigation and one without. These results suggest routine use of intraoperative irrigation for appendectomies does not prevent @entity6177 formation, adds extra costs, and may be avoided.
